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目的探讨阴道镜在早期尖锐湿疣诊断的作用。方法 2009年1月至2009年12月广州市天河区妇幼保健院妇科门诊阴道镜下活检病理发现早期亚临床型尖锐湿疣29例,分析其异常阴道镜图象特点。结果 29例病理诊断的尖锐湿疣中,薄醋白上皮18例占62%,中厚醋白上皮11例占38%,细点状血管12例占41%,细镶嵌5例占17%,乳头或菜花状13例占45%。结论乳头或菜花状异常图象是早期宫颈尖锐湿疣阴道镜特征性表现,活检病理检查在早期诊断和治疗亚临床型尖锐湿疣中具有重要作用。
Objective To explore the role of colposcopy in the diagnosis of early genital warts. Methods From January 2009 to December 2009, 29 cases of early subclinical condyloma acuminatum were detected by colposcopic biopsy in gynecology clinic of Maternity and Child Health Hospital of Tianhe District, Guangzhou City from January 2009 to December 2009, and the features of abnormal colposcopy were analyzed. Results Among the 29 pathologically diagnosed condyloma acuminatum cases, 18 cases were thin vinegar white epithelium, 62% were middle white vinegar white epithelium, 38% were thin vinegar white epithelium, 12 were finely pointed vessel, 41% were fine mosaic in 5 cases, Cauliflower-like 13 cases accounted for 45%. Conclusion Abnormal papillary or cauliflower images are the characteristic features of colposcopy of condyloma acuminatum in early stage. Biopsy pathological examination plays an important role in the early diagnosis and treatment of subclinical condyloma acuminatum.