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目的探讨阴道镜联合电凝诊治阴道腺病的临床价值。方法选择门诊其母亲在妊娠期曾服用过已底酚(DES),具有阴道镜检查指征87例患者,阴道镜下定点活检,病理诊断为阴道腺病患者,利用高频电波刀电凝治疗。结果 87例阴道镜下定点活检,病理诊断为阴道腺病4例,检出率占4.6%。经电凝物理疗法治疗后,随访1～5年无复发。结论阴道镜下定点活检,可提高阴道腺病的检出率,联合电凝治疗,效果满意,值得临床推广应用。
Objective To investigate the clinical value of colposcopy combined with electrocoagulation in diagnosis and treatment of vaginal adenosis. Methods Selected mothers during the pregnancy had taken the bottom phenol (DES), with colposcopy indications of 87 patients, colposcopy biopsy, the pathological diagnosis of vaginal adenosis patients, the use of high frequency electric knife coagulation therapy . Results 87 cases of colposcopy biopsy, pathological diagnosis of vaginal adenosis in 4 cases, the detection rate was 4.6%. After electrocoagulation physical therapy, follow-up 1 to 5 years without recurrence. Conclusion colposcopy biopsy can increase the detection rate of vaginal adenosis, combined with coagulation therapy, the effect is satisfactory, worthy of clinical application.