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目的探讨阴道镜在宫颈上皮内瘤变(CIN)中的诊断价值、临床意义及应用体会。方法对1932例患者进行阴道镜检查,对可疑病例采用Reid阴道镜评分标准RCI评分[1],并行多点活检,必要时颈管搔刮。对病理确诊为CIN的病例进行回顾性分析,比较总结。结果病理确诊为CIN的96例,其中宫颈光滑8例,轻度糜烂46例,中度糜烂34例,重度糜烂8例。阴道镜下对可疑病例进行RCI评分,≤3分89例,病理确诊为CIN13例,4~6分87例,病理确诊为CIN72例,7~8分12例,病理确诊为CIN11例。结论阴道镜可早期发现CIN,宫颈糜烂程度与CIN分级不相关(P>0·05),RCI评分诊断对CIN有较高价值。
Objective To explore the diagnostic value, clinical significance and application experience of colposcopy in cervical intraepithelial neoplasia (CIN). Methods A total of 1932 patients underwent colposcopy. Reid colposcopy scoring criteria RCI score [1] were used for suspicious cases. Multi-biopsy was performed in parallel and neck scraping was performed if necessary. The pathological diagnosis of CIN cases were retrospectively analyzed and compared. Results The pathology was diagnosed as CIN in 96 cases, including 8 cases of cervical smooth, 46 cases of mild erosion, moderate erosion in 34 cases, severe erosion in 8 cases. Colposcopy RCI score of suspicious cases, ≤ 3 points in 89 cases, pathologically confirmed CIN 13 cases, 4 to 6 minutes and 87 cases, pathologically confirmed CIN 72 cases, 7 to 8 in 12 cases, the pathological diagnosis of CIN in 11 cases. Conclusion Colposcopy early detection of CIN, cervical erosion and CIN grade was not related (P> 0.05), RCI score diagnosis of CIN has high value.