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目的探讨电子阴道镜在宫颈疾病诊断中的应用价值。方法收集浙江省温岭市妇幼保健院妇产科2007年1月至2008年4月的4332例患者进行电子阴道镜检查,并与组织病理学检查结果对照。结果4332例电子阴道镜检查中,行活体组织病理学检查306例,病理学检查诊断为宫颈炎177例,宫颈上皮内瘤样病变(CIN)Ⅰ～Ⅲ120例,宫颈癌9例,阴道镜诊断符合率87.5%以上。CIN发病年龄在20～39岁之间的病例占78.33%。宫颈癌的好发年龄为30～49岁,占宫颈癌总数的77.78%。结论电子阴道镜检查对诊断宫颈疾病,尤其对CIN和宫颈癌有重要价值,结合组织病理学检查可以提高诊断的准确率。
Objective To explore the value of electronic colposcopy in the diagnosis of cervical diseases. Methods 4332 patients from Obstetrics and Gynecology Hospital of Wenling Maternal and Child Health Hospital of Zhejiang Province from January 2007 to April 2008 were examined by electronic colposcopy and compared with histopathological findings. Results In the 4332 cases of electronic colposcopy, 306 cases were diagnosed as histopathological examination by pathology, 177 cases were diagnosed as cervicitis, 120 cases were cervical intraepithelial neoplasia (CIN), 120 cases were cervical cancer, 9 cases were diagnosed by colposcopy In line with the rate of 87.5%. The incidence of CIN in the 20 to 39 years old cases accounted for 78.33%. The incidence of cervical cancer is 30 to 49 years old, accounting for 77.78% of the total number of cervical cancer. Conclusion Electron colposcopy is valuable for the diagnosis of cervical diseases, especially for CIN and cervical cancer. Combined with histopathological examination, the diagnostic accuracy can be improved.