论文部分内容阅读
目的比较宫颈上皮内瘤变(CIN)术前阴道镜下活组织检查结果与宫颈环形电切术(LEEP)后病理检查结果,评价阴道镜与LEEP在CIN诊断和治疗中的应用价值。方法对350例疑似CIN患者术前进行阴道镜下活组织检查病理诊断,并与LEEP术后组织病理检查结果进行对照比较。结果 350例手术均成功,阴道镜下活组织病理检查结果与LEEP术后病理检查结果完全符合率为72.57%,诊断过度率15.71%,诊断不足率11.71%。结论阴道镜下活组织检查可能遗漏CIN或早期浸润癌;LEEP可提供较完整的组织标本,可进一步筛查宫颈癌,有效弥补阴道镜的不足。
Objective To evaluate the value of colposcopy and LEEP in the diagnosis and treatment of CIN by comparing the preoperative colposcopic biopsy and cervical ring excision (LEEP) pathological findings before cervical intraepithelial neoplasia (CIN). Methods 350 cases of suspected CIN patients underwent colposcopy biopsy before the pathological diagnosis and LEEP histopathological examination results were compared. Results All the surgeries were successful in 350 cases. The results of colposcopic biopsy and pathological examination of LEEP were 72.57%, 15.71% and 11.71% respectively. Conclusions Colposcopic biopsy may miss CIN or early invasive carcinoma. LEEP can provide more complete histological specimens for further screening of cervical cancer and effectively compensate for the lack of colposcopy.