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目的 :探讨电子阴道镜在宫颈癌前病变诊断中的临床应用价值。方法 :对妇科门诊的 5 97例患者行阴道镜检查 ,同时做病理活检。结果 :正常阴道镜图像 469例 ,病理结果慢性宫颈炎 417例 ,宫颈上皮内瘤样变 (CIN)Ⅰ级 5 2例 ;异常阴道镜图像 12 8例 ,病理结果慢性宫颈炎 17例 ,宫颈 (CIN )Ⅰ级 14例 ,CINⅡ级 72例 ,CINⅢ级 19例 ,原位癌 4例 ,浸润癌 2例。结论 :电子阴道镜在宫颈癌前病变的诊断中有较大价值 ,其操作灵活方便 ,其图像管理更有利于宫颈癌前病变的动态观察和随访。
Objective: To investigate the clinical value of electronic colposcopy in the diagnosis of cervical precancerous lesions. Methods: A total of 5 97 gynecological clinic patients underwent colposcopy and biopsy at the same time. Results: There were 469 cases of normal colposcopy, 417 cases of chronic cervicitis, 52 cases of grade Ⅰ cervical intraepithelial neoplasia (CIN), 128 cases of abnormal colposcopy, 17 cases of pathological findings of chronic cervicitis, 14 cases of grade Ⅰ, 72 cases of CINⅡ, 19 cases of CINⅢ, 4 cases of carcinoma in situ and 2 cases of invasive carcinoma. Conclusion: The electronic colposcopy has great value in the diagnosis of cervical precancerous lesions, and its operation is flexible and convenient. The image management is more conducive to the dynamic observation and follow-up of cervical precancerous lesions.