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目的:评价电子阴道镜下定位活组织检查在子宫颈病变诊断中的临床应用价值。方法:对1300例体检妇女应用液基薄层细胞学进行宫颈细胞学检查,对其中240例检查异常者在电子阴道镜下行多点定位活检并送病理学检查。结果:经阴道镜下多点活检病理组织学检查诊断为炎症63例,占异常细胞学26.25%;宫颈上皮内瘤病变(CIN)180例,其中CINⅠ109例,CINⅡ52例,CINⅢ19例,宫颈鳞癌3例,腺癌1例。CIN检出率75%,宫颈癌检出率1.67%。结论:电子阴道镜定位活检对早期发现宫颈癌前病变、宫颈癌具有重要临床意义。
Objective: To evaluate the clinical value of electronic colposcopy biopsy in the diagnosis of cervical lesions. Methods: One hundred and thirteen women with physical examination underwent cervical cytology by liquid-based thin-layer cytology. Among them, 240 cases with abnormal examination underwent multi-point biopsy under electron colposcopy and sent for pathological examination. Results: 63 cases were diagnosed as inflammatory cytology by histopathology with multiple biopsy under colposcopy, accounting for 26.25% of abnormal cytology; 180 cases of cervical intraepithelial neoplasia (CIN), of which 109 cases were CINⅠ, 52 cases were CINⅡ, 19 cases were CINⅢ, 3 cases, 1 case of adenocarcinoma. CIN detection rate of 75%, cervical cancer detection rate of 1.67%. Conclusion: Electronic colposcopy biopsy has important clinical significance for the early detection of cervical precancerous lesions and cervical cancer.