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目的探讨阴道镜检查对宫颈病变的诊断价值。方法2003年2月至2005年2月佛山市妇幼保健院采用电子阴道镜对6051例妇女进行阴道镜检查,其中1511例在阴道镜下定点活检送病理。结果经病理确诊宫颈上皮内瘤变(CIN)696例,包括CINⅠ543例、CINⅡ100例、CINⅢ53例,宫颈癌24例,活检CIN检出率46.06%。CIN发病年龄在20～39岁之间的病例占87.50%。宫颈癌的好发年龄为30～49岁,占宫颈癌总数的95.83%。宫颈轻度糜烂患者占发生CIN总数的30.17%,其中CINⅡ、CINⅢ分别占30.00%和37.74%,宫颈光滑者占CIN总数的8.33%。结论采用阴道镜检查能及早发现宫颈癌前病变,是宫颈癌筛查方便安全、准确可靠的检查方法。
Objective To investigate the value of colposcopy in the diagnosis of cervical lesions. Methods From February 2003 to February 2005, 6051 women underwent colposcopy by electronic colposcopy in Foshan Maternal and Child Health Care Hospital. Among them, 1511 were biopsied by colposcopy. Results 696 cases of cervical intraepithelial neoplasia (CIN) were confirmed by pathology, including CINⅠ543 cases, CINⅡ100 cases, CINⅢ53 cases, cervical cancer 24 cases and biopsy CIN 46.06%. The incidence of CIN in the 20 to 39 years old cases accounted for 87.50%. The incidence of cervical cancer is 30 to 49 years old, accounting for 95.83% of the total number of cervical cancer. Cervical mild erosion accounted for 30.17% of the total number of CIN, of which CIN Ⅱ, CIN Ⅲ accounted for 30.00% and 37.74%, cervical smooth accounted for 8.33% of the total number of CIN. Conclusion colposcopy can detect early cervical precancerous lesions, cervical cancer screening convenient, safe, accurate and reliable method of inspection.