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目的:探讨电子阴道镜(阴道镜)检查在宫颈癌前筛查中的价值。方法:2009年3月～2010年12月对黄冈市妇幼保健院2 913例患者进行阴道镜检查,并与组织病理学检查结果对照。结果:2 913例电子阴道镜检查中,行阴道镜下活检2 753例,行宫颈管搔刮160例。活检中病理学检查诊断为宫颈炎2 441例,宫颈上皮内瘤样病变CINⅠ204例,CINⅡ46例,CINⅢ35例,宫颈癌27例,诊断正确率为92.5%。宫颈管搔刮送病检诊断为宫颈炎144例,宫颈管腺细胞病变8例,CINⅠ4例,CINⅡ2例,CINⅢ2例,宫颈癌0例,CIN的漏诊率为5.0%。结论:采用阴道镜检查能及早发现宫颈癌前病变,是宫颈癌筛查方便安全、准确、可靠的检查方法。对临床分析阴道镜观察满意而TCT提示异常者应该配合宫颈管搔刮术,以增加宫颈管内病变的检出率。
Objective: To investigate the value of electronic colposcopy (colposcopy) in cervical precancerous screening. Methods: From March 2009 to December 2010, 2 913 patients in MCH from Huanggang City were examined by colposcopy and compared with histopathological findings. Results: Among 2 913 cases of electronic colposcopy, 2 753 cases underwent colposcopy biopsy and 160 cases cervical canal scraping. Biopsy in the pathological examination of 2 441 cases of cervicitis, cervical intraepithelial neoplasia CIN Ⅰ 204 cases, CIN Ⅱ 46 cases, CIN Ⅲ 35 cases, 27 cases of cervical cancer, the diagnostic accuracy was 92.5%. Cervical tube scratch scraping sentinel examination for the diagnosis of cervicitis 144 cases of cervical canal gland cytopathic lesions in 8 cases, 4 cases of CIN Ⅰ, CIN Ⅱ 2 cases, 2 cases of CIN Ⅲ, 0 cases of cervical cancer, CIN misdiagnosis rate was 5.0%. Conclusion: Colposcopy can detect cervical precancerous lesions early and is a safe, accurate and reliable method for cervical cancer screening. Clinical analysis of colposcopy was satisfactory and TCT tips abnormalities should cooperate with cervical canal scraping surgery to increase the detection rate of cervical canal lesions.