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目的探讨阴道镜检查在宫颈病变筛查及诊治中的重要作用。方法回顾性分析2006年8月～2008年11月阴道镜检查664例。结果阴道镜检查664例,其中活检组织病理学检查492例,对于细胞学异常者,阴道镜诊断与病理结果相差一个级别之内的符合率94.85%;肉眼疑癌或有可疑病史者53例,阴道镜检查异常24例、检出率45.28%,活检病理结果异常23例,宫颈病变(包括浸润癌)检出率43.4%,阴道镜与病理结果相差一个级别之内的符合率91.67%。结论阴道镜检查是一种初步诊断技术,与细胞学检查合用可提高诊断的准确率,降低漏诊率。在宫颈病变三阶梯诊断特定情况下,阴道镜可跳过细胞学检查直接筛查并作为指导活检的手段以提高诊断率。阴道镜检查是宫颈病变早诊断不可或缺的手段,宫颈活检必须在阴道镜指导下进行。
Objective To explore the important role of colposcopy in screening and diagnosis of cervical lesions. Methods A retrospective analysis from August 2006 to November 2008 colposcopy 664 cases. Results Colposcopy 664 cases, of which 492 cases of biopsy histopathology, abnormal cytology, colposcopy diagnosis and pathology results within a level of 94.85% within the agreement; the suspicion of cancer or suspicious history of 53 cases, Colposcopy abnormalities in 24 cases, the detection rate was 45.28%, 23 cases of biopsy abnormalities, cervical lesions (including invasive carcinoma) detection rate of 43.4%, colposcopy and pathological findings within a level of 91.67%. Conclusion colposcopy is a preliminary diagnostic technique, combined with cytology can improve the diagnostic accuracy and reduce the rate of misdiagnosis. In the specific case of cervical lesions three-step diagnosis, colposcopy may skip the cytological examination directly and as a means to guide the biopsy to improve the diagnostic rate. Colposcopy is an indispensable means of early diagnosis of cervical lesions, cervical biopsy must be conducted under the guidance of colposcopy.