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目的探讨阴道镜下活检防治宫颈癌的临床效果。方法选取我院2011年5月至2013年5月收治的843例阴道镜门诊检查者,与同期肉眼活检上皮肉瘤变(CIN)的诊断率进行对比。结果本组检查者中有108例(12.8%)在阴道镜下活检病理诊断为CIN;而同期采用肉眼活检则只有4.8%的检查者被诊断为CIN,二者具有较为明显的差异,有统计学意义(P<0.01,χ2=23.15)。CINI~III中血管异常分别为11.5%、12.5%及46.2%,白色腺体和腺口白环分别为31.0%,25.0%及7.7%。结论阴道镜下活检防治宫颈癌效果较佳,敏感性较高,且诊断费用远低于细胞学检查TCT法和CCT法。
Objective To investigate the clinical effect of colposcopy biopsy in the prevention and treatment of cervical cancer. Methods Totally 843 cases of colposcopy clinics in our hospital from May 2011 to May 2013 were selected and compared with the diagnostic rate of biopsy of epithelial sarcoma (CIN) during the same period. Results 108 cases (12.8%) of the examiners in this group underwent colposcopy biopsy pathological diagnosis of CIN; the same period with biopsy, only 4.8% of the examiners were diagnosed with CIN, the two have more obvious differences, there are statistics Significance (P <0.01, χ2 = 23.15). Vascular abnormalities in CINI-III were 11.5%, 12.5% and 46.2%, respectively, and white glands and glandular white loops were 31.0%, 25.0% and 7.7%, respectively. Conclusion colposcopy biopsy is better and more effective in preventing and treating cervical cancer, and the cost of diagnosis is much lower than cytology TCT and CCT.