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为了解阴道镜检及镜下活检的临床价值,本文对25例巴氏细胞学异常的病人进行了阴道镜检及镜下活检,其结果与全宫术后宫颈标本亚连续切片结果比较,阴道镜检诊断准确率为92.59%,镜下活检诊断准确率为88.89%,认为阴道镜检是一种诊断早期宫颈癌的有效方法。对不满意的阴道镜检,可做多点活检和颈管刮术。文章还对宫颈组织切片进行了仔细的病理分析,在此基础上讨论了对原位癌实行保守性活疗时所需破坏腺体的最小深度和颈管纵轴的长度,并对绝经后妇女的阴道镜检的作用进行了分析。
In order to understand the clinical value of colposcopy and biopsy, 25 patients with Pap cytology underwent colposcopy and microscopic biopsy. The results were compared with the results of sub-successful cervical specimens after the uterus. The diagnostic accuracy of microscopic examination was 92.59%, and the diagnostic accuracy of microscopic biopsy was 88.89%. It is considered that colposcopy is an effective method for diagnosing early cervical cancer. For unsatisfactory colposcopy, multiple biopsy and neck scraping can be done. The article also conducted a careful pathological analysis of cervical tissue sections. Based on this, the minimum depth of destruction of the glands and the length of the longitudinal axis of the cervical canal for conservative treatment of carcinoma in situ were discussed, as well as the postmenopausal women. The role of the colposcopy was analyzed.