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目的:探讨阴道镜检查与病理学诊断宫颈病变的临床应用。方法:回顾性分析3年来对海拔2260m的西宁地区阴道镜检查1060例宫颈病变结果。结果:不同阴道镜图像的病理学诊断结果可见,明显癌的阴道镜图像中以浸润癌的检出率较高;白色上皮的阴道镜图像中以非典型增生的检出率较高;异形血管、镶嵌、点状血管及腺口白环的阴道镜图像中以原位癌及浸润癌的检出率较高;白斑的阴道镜图像中以非典型增生的检出率较高。结论:阴道镜是辅助诊断宫颈病变的重要方法,阴道镜下活体组织检查(活检)成为确诊的重重手段。
Objective: To explore the clinical application of colposcopy and pathology in the diagnosis of cervical lesions. Methods: A retrospective analysis of 1060 cases of cervix lesions in colposcopy in Xining, 2260m above sea level, was retrospectively analyzed. Results: The results of pathological diagnosis of different colposcopy images showed that the detection rate of invasive carcinoma was higher in colposcopy images of clear carcinoma; the detection rate of atypical hyperplasia in colposcopy images of white epithelium was higher; , Inlaid, punctate vessels and glandular white ring colposcopy in situ carcinoma and invasive cancer detection rate is higher; leukoplakia colposcopy in the detection of atypical hyperostosis was higher. CONCLUSION: Colposcopy is an important method to diagnose cervical lesions. Colposcopic biopsy (biopsy) becomes the most important means of diagnosis.