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为了得到宫颈病变更准确的诊断,锥切虽是理想,但由于其本身危险、住院、耗费、麻醉意外等原因,不能常规进行。最近文献指出,结合阴道细胞学检查,阴道镜指示下咬取活检及宫颈内膜刮出物活检也能准确诊断。本文对细胞学发现为临界病变的病例作了阴道镜指示下活检和锥切诊断准确性的比较。材料和方法细胞学巴氏Ⅲ级以上病例在阴道镜下活检,有严重结构不良、原位癌、微癌或阴道镜指示下活检阴性,但巴氏涂片持续阳性时做锥切活检。在110例中90例锥切活检和20例子宫全切标本。每个锥切标本切12-24块做切片检查分级和病变范围。锥切
In order to get a more accurate diagnosis of cervical lesions, conization is ideal, but due to its own danger, hospitalization, consumption, anesthesia accidents and other reasons, can not be routine. Recent literature pointed out that combined with vaginal cytology, biopsy colposcopy instructions and endocervical scraping biopsy can also be accurately diagnosed. In this paper, cytology was found to be critical lesions in patients under colposcopy biopsy and conical incision diagnosis accuracy comparison. Materials and Methods Cytology Papillary grade Ⅲ or higher biopsy in the colposcopy, severe structural dysfunction, carcinoma in situ, micro-cancer or colposcopy biopsy negative, but the continuous smear Pap smear biopsy done. In 110 cases, 90 cases of cone biopsy and 20 cases of hysterectomy specimens. Each cone-cut specimen cut 12-24 to do the slice to check grading and lesion range. Cone cut