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目的:探讨阴道镜在宫颈疾病诊断中的临床应用价值,提高宫颈疾病的诊断率。方法:选择2010年2月～2011年2月进行阴道镜检查的患者280例,将阴道镜检查结果进行图像分析,分析后于正常转化区内及异常转化区内病变严重部位进行多点活检,组织标本进行病理检查。结果:病理诊断280例患者,其中慢性宫颈炎182例,CIN 83例,宫颈癌15例,阴道镜诊断慢性宫颈炎、CIN、宫颈癌的符合率分别为95.1%、96.4%、93.3%。结论:阴道镜检查可以观察肉眼看不到较微小的病变,又可在阴道镜定位下进行活检,再配合细胞学检查在很大程度上提高了宫颈疾病的诊断率,对发现宫颈癌和癌前病变有着十分重要的作用。
Objective: To explore the clinical value of colposcopy in the diagnosis of cervical diseases and to improve the diagnosis rate of cervical diseases. Methods: Two hundred and eighty patients who underwent colposcopy from February 2010 to February 2011 were selected. Colposcopy results were analyzed by image analysis. Multiple biopsies were performed in the normal transformation zone and the severe lesion in the abnormal transformation zone. Tissue specimens for pathological examination. Results: The pathological diagnosis of 280 patients, including 182 cases of chronic cervicitis, CIN 83 cases, 15 cases of cervical cancer, colitis diagnosis of chronic cervicitis, CIN, cervical cancer were 95.1%, 96.4%, 93.3%. Conclusion: colposcopy can be observed with the naked eye can not see the lesser lesions, but also colposcopic biopsy, combined with cytological examination to a large extent improve the diagnosis of cervical disease, cervical and cancer Pre-lesion has a very important role.