论文部分内容阅读
目的评价阴道镜指导下宫颈活检诊断宫颈上皮内瘤变Ⅰ级(CINⅠ)的准确性。方法回顾阴道镜活检诊断为CINⅠ并于短期内行宫颈环形电切术(LEEP)235例患者的临床及病理资料,分析阴道镜下宫颈活检诊断不足及漏诊宫颈浸润癌的相关因素。结果 235例患者中,阴道镜下宫颈活检诊断结果与最终诊断符合者152例(64.7%),诊断过度者29例(12.3%),诊断不足者46例(19.6%)。8例患者最终诊断为宫颈浸润癌,漏诊率为3.4%。结论对细胞学检查结果为非典型鳞状上皮不排除高度病变、高度鳞状上皮内瘤变或阴道镜检查不满意者,阴道镜下宫颈活检确诊为CINⅠ尚不够可靠,需警惕漏诊。
Objective To evaluate the accuracy of colposcopic biopsy in the diagnosis of cervical intraepithelial neoplasia grade Ⅰ (CIN Ⅰ). Methods The clinical and pathological data of 235 patients with cervical intraepithelial neoplasia (LEEP) diagnosed by colposcopy biopsy and CIN Ⅰ were analyzed retrospectively. The related factors of the diagnosis of cervical biopsy under colposcopy and the missed diagnosis of cervical invasive carcinoma were analyzed. Results Of the 235 patients, 152 (64.7%) were diagnosed by colposcopy and 29 (12.3%) were diagnosed as undiagnosed, and 46 (19.6%) were diagnosed as undetectable. 8 patients eventually diagnosed as invasive cervical cancer, misdiagnosis rate was 3.4%. Conclusions Cytological findings of atypical squamous epithelium do not rule out highly pathological changes, high degree of squamous intraepithelial neoplasia or colposcopy are not satisfied, colposcopic cervical biopsy confirmed CIN Ⅰ is not reliable enough, need to be alert to missed diagnosis.