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目的评价阴道镜图像对宫颈疾病尤其是对宫颈上皮内瘤样病变的诊断价值。方法 2007年5月—2009年4月,我科对妇科12 352例妇科门诊患者进行阴道镜检查,发现阴道镜下异常图像261例,并在镜下定位活检。结果慢性宫颈炎197例(197/261),75.5%,宫颈尖锐湿疣18例(18/261),6.9%,CINⅠ26例(26/261),10.0%,CINⅡ12例(12/261),4.6%,CINⅢ5例(5/261),1.9%。结论阴道镜图像对应阴道镜拟诊与组织病理学有一定的符合率,对CIN有一定的诊断价值,适合作为妇科诊疗人群CIN的筛查方法。CIN的检出率为(43/261),16.5%。
Objective To evaluate the value of colposcopy in the diagnosis of cervical diseases, especially cervical intraepithelial neoplasia. Methods From May 2007 to April 2009, our department performed colposcopy examinations on 12 352 gynecological gynecology outpatients and found 261 cases of abnormal colposcopy images and biopsy under the microscope. Results 197 cases (197/261), 75.5% of chronic cervicitis, 18 cases of cervical condyloma acuminatum (18/261), 6.9%, 26 cases of CINⅠ (26/261), 10.0%, 12 cases of CINⅡ (12/261) , CINⅢ5 cases (5/261), 1.9%. Conclusions The colposcopy colposcopy and histopathology have a certain coincidence rate, which has a certain diagnostic value for CIN and is suitable as a screening method for CIN in gynecological clinics. The detection rate of CIN was (43/261), 16.5%.