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目的评价阴道镜检查对宫颈疾病诊断的价值。方法对经阴道镜检查的186例患者再在镜下定点活检。结果经病理检查证实慢性宫颈炎150例,宫颈息肉13例,宫颈湿疣5例,宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)15例,(CINⅠ10例,CINⅡ3例,CINⅢ2例),宫颈癌3例。临床诊断宫颈湿疣2例,阴道镜下诊断宫颈湿疣6例(5例已经病理证实,误诊1例),阴道镜下诊断CIN45例,已经病理证实为CIN15例(病理诊断为慢性宫颈炎的30例)。结论电子阴道镜作为一种临床诊断方法,其诊断的准确性与阴道镜图像的特异性,阴道镜医生的经验技术,活检标本的大小等因素有关。借助电子阴道镜使病变图像清晰更方便定位活检,对CIN早期诊断,早期治疗及降低宫颈癌的发生率有重要价值。
Objective To evaluate the value of colposcopy in the diagnosis of cervical diseases. Methods A total of 186 patients undergoing colposcopy were biopsied by the microscope. Results 150 cases of chronic cervicitis, 13 cases of cervical polyps, 5 cases of cervical condyloma acuminatum, 15 cases of cervical intraepithelial neoplasia (CIN), 10 cases of CINⅠ (3 cases of CINⅡ, 2 cases of CINⅢ), 3 cases of cervical cancer example. Clinical diagnosis of cervical condyloma in 2 cases, colposcopy diagnosis of cervical condyloma in 6 cases (5 cases have been pathologically confirmed, misdiagnosed in 1 case), colposcopy diagnosis of CIN45 cases, has been pathologically confirmed as CIN15 cases (pathological diagnosis of chronic cervicitis in 30 cases ). Conclusion Electronic colposcopy as a clinical diagnostic method, the diagnostic accuracy of colposcopy images with the specificity of colposcopy doctors experience techniques, the size of the biopsy specimens and other factors. Using electronic colposcopy to make the lesion clear and more convenient for biopsy, it is of great value in the early diagnosis, early treatment of CIN and the incidence of cervical cancer.