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目的探讨在外阴尖锐湿疣患者中开展阴道镜检查的作用及意义。方法对123例外阴尖锐湿疣患者行阴道镜检查并行阴道镜下多点活检作组织病理学诊断。结果123例外阴尖锐湿疣患者中合并宫颈HPV感染88例,占71.5%。其中肉眼发现宫颈尖锐湿疣15例,扁平湿疣0例,宫颈上皮内瘤变(CIN)0例。阴道镜检查发现宫颈尖锐湿疣33例,发生率26.8%。宫颈扁平湿疣30例,发生率24.4%;CIN25例,发生率20.3%;未检出宫颈癌。结论外阴尖锐湿疣患者中宫颈HPV感染相当常见;宫颈糜烂者较宫颈光滑者更易感染HPV,且更多伴有CIN损害;阴道镜检查对诊断宫颈HPV感染具有敏感性、特异性高,假阳性、假阴性率低等优势。外阴尖锐湿疣患者应常规行阴道镜检查,以早期检出CIN。
Objective To explore the role and significance of colposcopy in patients with genital warts. Methods 123 cases of genital warts in patients with colposcopy colposcopy multi-point biopsy for histopathological diagnosis. Results 88 cases of cervical HPV infection were found in 123 cases of vulvar condyloma acuminatum, accounting for 71.5%. Among them, 15 cases of cervical condyloma acuminata, 0 cases of flat condyloma and 0 cases of cervical intraepithelial neoplasia (CIN) were found by naked eyes. Colposcopy found in 33 cases of cervical condyloma, the incidence of 26.8%. 30 cases of cervical flat warts, the incidence rate of 24.4%; CIN25 cases, the incidence rate of 20.3%; not detected cervical cancer. Conclusion Cervical HPV infection is quite common in patients with genital warts. Cervical erosion is more susceptible to HPV infection than cervical smooth, and more with CIN damage. Colposcopy is sensitive, specific, false-positive, False negative rate advantage. Vulvar genital warts patients should be routine colposcopy, early detection of CIN.