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目的探讨阴道镜对宫颈宫颈上皮内瘤变的诊断价值。方法选择濮阳市人民医院2006年1月—2010年12月收治的因宫颈疾病行阴道镜检查与活检的334例患者为观察组,同期行肉眼直视下宫颈活检术的患者249例为对照组。比较两组患者宫颈慢性炎症、宫颈宫颈上皮内瘤变、宫颈癌、宫颈湿疣的检出率。结果观察组的患者中,慢性宫颈炎症285例,宫颈上皮内瘤变26例,宫颈癌5例,湿疣18例。对照组行宫颈活检术的249例,其中慢性宫颈炎症231例,宫颈上皮内瘤变9例,宫颈癌4例,湿疣4例。两组患者的湿疣、宫颈上皮内瘤变检出率比较差异有统计学意义(P<005),慢性宫颈炎症和宫颈癌的检出率差异比较无统计学意义(P>0.05)。结论阴道镜具有能准确发现宫颈可疑病变,直接取活检、大大提高宫颈宫颈上皮内瘤变检出率等优点,因此可作为宫颈疾病和宫颈癌筛查的常规检查方法推广使用。
Objective To investigate the value of colposcopy in the diagnosis of cervical intraepithelial neoplasia. Methods 334 patients with colposcopy and biopsy due to cervical diseases admitted to Puyang People’s Hospital from January 2006 to December 2010 were selected as the observation group. 249 patients undergoing cervical biopsy under naked eye for the same period were selected as the control group . The chronic cervicitis, cervical intraepithelial neoplasia, cervical cancer and cervical condylomata were detected in two groups. Results In the observation group, 285 cases of chronic cervical inflammation, 26 cases of cervical intraepithelial neoplasia, 5 cases of cervical cancer and 18 cases of genital warts. Control group, cervical biopsy 249 cases, including 231 cases of chronic cervicitis, cervical intraepithelial neoplasia in 9 cases, 4 cases of cervical cancer, genital warts in 4 cases. The detection rates of genital warts and cervical intraepithelial neoplasia were statistically different between the two groups (P <0.05). There was no significant difference in the detection rate between chronic cervicitis and cervical cancer (P> 0.05). Conclusion Colposcopy has the advantages of accurately detecting suspicious cervical lesions, direct biopsy and greatly improving the detection rate of cervical intraepithelial neoplasia. Therefore, colposcopy can be used as a routine examination method for cervical diseases and cervical cancer screening.