论文部分内容阅读
目的探讨阴道镜检查及镜下活检在宫颈癌及癌前病变早期筛查和诊断中的应用价值。方法观察2007年2月—2008年10月在我院进行阴道镜检查的2164例患者,其中980例阴道镜图像异常进行镜下活检,对病理活组织检查结果进行分析总结。结果980例阴道镜图像异常者,病理确诊为宫颈上皮内瘤样病变(CIN)394例,占40.2%(其中CINⅠ263例;CINⅡ57例;CINⅢ74例);宫颈浸润癌4例,占0.4%;慢性宫颈炎542例,占55.4%;湿疣40例,占4%。活检阳性率40.6%(指癌前病变和癌变检出率)。结论阴道镜检查及镜下活检对宫颈癌、宫颈癌前病变的早期筛查和诊断具有重要价值。
Objective To investigate the value of colposcopy and microscopic biopsy in early screening and diagnosis of cervical cancer and precancerous lesions. Methods 2164 patients undergoing colposcopy in our hospital from February 2007 to October 2008 were retrospectively reviewed. Microscopic biopsy was performed on 980 cases of colposcopy abnormalities. The results of pathological biopsy were analyzed and summarized. Results Among the 980 cases with abnormal colposcopy images, 394 cases were diagnosed as CIN, accounting for 40.2% (CINⅠ263 cases, CINⅡ57 cases and CINⅢ74 cases), cervical invasive carcinoma (0.4%), chronic 542 cases of cervicitis, accounting for 55.4%; 40 cases of genital warts, accounting for 4%. The biopsy positive rate was 40.6% (referring to precancerous lesions and cancer detection rate). Conclusion Colposcopy and microscopic biopsy have important value in the early screening and diagnosis of cervical cancer and cervical precancerous lesions.