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目的:评价阴道镜诊断宫颈腺癌的临床应用价值。方法:回顾性分析2008年1月~2012年12月因TCT结果异常而行阴道镜检查及经宫颈组织病理学检测诊断为宫颈癌的225例患者的资料,比较宫颈腺癌与宫颈鳞癌的临床表现和阴道镜图像的差异。结果:阴道镜下宫颈腺癌的宫颈腺体肥大,开口粗大,开口处可见异常分泌物。宫颈腺癌多见点状血管或镶嵌等复杂图形,且多为III型转化区。结论:宫颈腺癌的诊断除病史、症状和体征外,其阴道镜图像有别于鳞癌,病理组织学诊断对于宫颈腺癌的诊断具有重要意义。
Objective: To evaluate the clinical value of colposcopy in the diagnosis of cervical adenocarcinoma. Methods: The data of 225 patients diagnosed as cervical cancer by colposcopy and cervical histopathology due to abnormal TCT results from January 2008 to December 2012 were retrospectively analyzed. The correlation between cervical adenocarcinoma and cervical squamous cell carcinoma Differences in clinical manifestations and colposcopy images. Results: Cervical adenocarcinoma under cervical colposcopy hypertrophy, large openings, the opening can be seen abnormal secretions. Cervical adenocarcinoma more punctate vascular or mosaic complex graphics, and more for the type III transformation zone. Conclusion: The diagnosis of cervical adenocarcinoma is different from squamous cell carcinoma in the diagnosis of cervical adenocarcinoma except the history, symptoms and signs. The diagnosis of cervical adenocarcinoma is of great significance.