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目的:分析电子阴道镜检查在宫颈病变诊断中的临床应用价值。方法:选择2010年1月～2011年12月行阴道镜检查患者的结果与活检病理学结果进行分析。结果:细胞组织学的检测结果两组患者共960例,其中炎症262例,CINⅠ20例,CINⅡ～Ⅲ32例,宫颈癌(CC)14例,总计328例;2011年的筛查患者与2010年的患者相比,CINⅠ和CINⅡ～Ⅲ的病变检出率,2010年为1.3%和2.1%,2011年分别为2.9%和4.6%,两组比较差异均有统计学意义(P<0.05);CC的检出率两年的患者差异无统计学意义(P>0.05);炎症在内总计有328例异常患者。在异常者中,炎症患者人乳头瘤病毒(HPV)阳性检出为46例(17.4%);CINⅠ患者为10例(50.0%);CINⅡ～Ⅲ患者为28例(87.5%);CC患者为14例(100.0%),其他3种情况者与炎症患者比较,阳性率均有统计学意义。结论:电子阴道镜检查对宫颈病变的诊断准确性高,操作简便,经济实惠,创伤小。对CIN能早发现、早诊断,早治疗,从而降低了宫颈癌的发病率,值得临床大力推广使用。
Objective: To analyze the clinical value of electronic colposcopy in the diagnosis of cervical lesions. Methods: The results of colposcopy examination and biopsy pathology were analyzed from January 2010 to December 2011. Results: The results of cell histology in the two groups of patients were 960 cases, of which 262 cases of inflammation, CINⅠ20 cases, CIN Ⅱ ~ Ⅲ32 cases, cervical cancer (CC) 14 cases, a total of 328 cases; screening in 2011 and 2010 Compared with patients, the detection rates of CINⅠ and CINⅡ ~ Ⅲ were 1.3% and 2.1% in 2010 and 2.9% and 4.6% in 2011 respectively, with statistical significance (P <0.05); CC (P> 0.05). A total of 328 patients with abnormalities were included in inflammation. Among the abnormal persons, the positive rate of human papillomavirus (HPV) was 46 (17.4%) in inflammatory patients, 10 (50.0%) in CINⅠ, 28 (87.5%) in CINⅡ ~ Ⅲ, 14 cases (100.0%), the other three kinds of cases and inflammatory patients, the positive rate was statistically significant. Conclusion: The accuracy of electronic colposcopy in the diagnosis of cervical lesions is high, easy to operate, economical and less invasive. Early detection of CIN, early diagnosis and early treatment, thereby reducing the incidence of cervical cancer, it is worth promoting clinical use.