阴道镜定位活检诊断子宫颈病变2 215例

    Cervical lesions diagnosis by colposcopy-guided biopsy in 2 215 cases

    • 摘要: 目的: 探讨阴道镜定位活检对子宫颈病变的诊断价值。方法: 对2 215例患者行阴道镜检查,并在阴道镜指导下定位子宫颈活检送病理学检查。结果: 2 215例中发现子宫颈上皮内瘤变(CIN)320例,其中CIN1 176例,CIN2 68例,CIN3 76例;子宫颈癌74例;慢性子宫颈炎(包括子宫颈息肉)1 821例。总诊断符合率96.93%,子宫颈癌诊断符合率98.65%。结论: 阴道镜定位子宫颈活检对子宫颈癌前期病变,尤其是早期子宫颈癌的诊断有重要价值,可提高CIN2、3及早期子宫颈癌的准确性和检出率。

       

      Abstract: Objective: To investigate the diagnostic value of the colposcopy-guided biopsy for cervical lesion. Methods: Two thousand two hundred and fifteen outpatients with cervical lesion accepted the surgery of colposcopy-guided biopsy for pathological examination. Results: There were 74 cases with cervical cancer,320 cases with cervical intraepithelial neoplasia (CIN),including 176 case of CIN1, 68 case of CIN2 and 76 case of CIN3,and 1 821 cases with chronic cervicitis (including cervical polyps). The rate of correct diagnosis is 96.93% for cervical lesion and 98.65% for cervical cancer,respectively. Conclusions: The colposcopy-guided cervical biopsy had important value for early diagnosis of cervical lesion,especially cervical cancer and could improve the detection rate and diagnostic accuracy of CIN2,CIN3 and early stage cervical cancer.

       

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