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目的探讨阴道镜下点状活检在诊断宫颈病变中的作用。方法选取通过阴道镜下定位活检诊断为宫颈疾病且随后行LEEP术治疗的100例患者,将LEEP术前后的病理结果做比较。结果阴道镜下定位活检与LEEP术后病理诊断一致者67例,占67%;病理级别不一致者33例,占33%,均为病理级别下降。全部病例无切缘阳性。结论阴道镜下定位活检可取得首次较准确的组织病理诊断,对子宫颈癌及癌前病变的早期发现、早期诊断有一定的价值。
Objective To investigate the role of colposcopy biopsy in the diagnosis of cervical lesions. Methods 100 cases of cervical disease diagnosed as cervical disease by colposcopy biopsy and then treated with LEEP were selected and pathological results of LEEP were compared. Results colposcopic biopsy and LEEP pathological diagnosis consistent with 67 cases, accounting for 67%; 33 cases of pathological grade inconsistencies, accounting for 33%, all pathological grade decreased. No case of positive margins. Conclusion colposcopy biopsy can obtain the first more accurate histopathological diagnosis of cervical cancer and precancerous lesions of early detection, early diagnosis has some value.