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目的评价阴道镜对妊娠期阴道流血患者宫颈病变的诊断价值。方法对45例非产科原因阴道流血的患者进行了电子阴道镜检查,分析其镜检特征。结果正常转化区19例,其中宫颈炎伴活动性出血9例,宫颈炎无活动性出血10例;宫颈蜕膜异位3例;低度子宫颈鳞状上皮内病变(low-grade squamous intraepithelial lesion,LSIL)5例;高度子宫颈鳞状上皮内病变(high-grade squamous intraepithelial lesion,HSIL)1例;宫颈赘生物17例,其中7例坏死,3例湿疣样改变。结论妊娠期不规则阴道出血原因复杂,阴道镜检查能较快判断其宫颈病变性质,指导临床正确处理。
Objective To evaluate the value of colposcopy in the diagnosis of cervical lesions in patients with vaginal bleeding during pregnancy. Methods 45 cases of non-obstetric vaginal bleeding in patients with electronic colposcopy, microscopic examination of its features. Results 19 cases of normal conversion area, including cervicitis with active bleeding in 9 cases, cervicitis with no active bleeding in 10 cases; cervical decidual ectopic in 3 cases; low degree of cervical squamous intraepithelial lesion (low-grade squamous intraepithelial lesion , 5 cases of LSIL; 1 case of high-grade squamous intraepithelial lesion (HSIL); 17 cases of cervical neoplasms, of which 7 cases were necrotic and 3 cases were condylomata. Conclusion The causes of irregular vaginal bleeding during pregnancy are complex. Colposcopy can determine the characteristics of cervical lesions quickly and guide clinical treatment correctly.