摘要
目的 探讨阴道镜宫颈活检在宫颈病变中的临床诊断价值.方法 选取84例疑似宫颈病变患者为研究对象,均进行阴道镜宫颈活检,以病理学检查结果为金标准,分析阴道镜宫颈活检的诊断价值.结果 病理学检查诊断出宫颈黏膜炎10例、宫颈上皮内瘤变Ⅰ级15例、宫颈上皮内瘤变Ⅱ级15例、宫颈上皮内瘤变Ⅲ级40例、宫颈原位癌4例;阴道镜宫颈活检诊断出宫颈黏膜炎9例、宫颈上皮内瘤变Ⅰ级12例、宫颈上皮内瘤变Ⅱ级12例、宫颈上皮内瘤变Ⅲ级36例、宫颈原位癌4例.阴道镜宫颈活检诊断宫颈黏膜炎、宫颈上皮内瘤变Ⅰ级、宫颈上皮内瘤变Ⅱ级、宫颈上皮内瘤变Ⅲ级、宫颈原位癌符合率分别为90.00％、80.00％、80.00％、90.00％、100％.结论 对疑似宫颈病变患者开展阴道镜宫颈活检是非常有意义的,阴道镜宫颈活检操作简便,对患者伤害小,费用较低,值得推广应用.
Abstract
Objective To explore the clinical diagnostic value of colposcopy cervical biopsy in cervical lesions.Methods 84 patients with suspected cervical lesions were selected as the study subjects,all of whom underwent colposcopy cervical biopsy.The pathological examination results were used as the gold standard to analyze the diagnostic value of colposcopy cervical biopsy.Results The pathological examination diagnosed 10 cases of cervical mucositis,15 cases of cervical intraepithelial neoplasia grade Ⅰ,15 cases of cervical intraepithelial neoplasia grade Ⅱ,40 cases of cervical intraepithelial neoplasia grade Ⅲ,and 4 cases of cervical carcinoma in situ;Cervical biopsy under colposcopy diagnosed 9 cases of cervical mucositis,12 cases of grade Ⅰ cervical intraepithelial neoplasia,12 cases of grade Ⅱ cervical intraepithelial neoplasia,36 cases of gradeⅢcervical intraepithelial neoplasia,and 4 cases of cervical carcinoma in situ.The diagnostic accuracy of colposcopy cervical biopsy for cervical mucositis,grade Ⅰ cervical intraepithelial neoplasia,grade Ⅱ cervical intraepithelial neoplasia,gradeⅢ cervical intraepithelial neoplasia,and cervical carcinoma in situ were 90.00％,80.00％,80.00％,90.00％,and 100％,respectively.Conclusion Vaginoscopic cervical biopsy is very meaningful for patients with suspected cervical lesions.Vaginoscopic cervical biopsy is easy to operate,less harmful to patients,and has lower costs.It is worth promoting and applying.
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