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目的探讨阴道镜在诊断筛查宫颈疾病的诊断价值。方法对我院584例宫颈病变患者进行阴道镜检查。对宫颈Ⅱ度糜烂、阴道镜可疑、宫颈刮片巴氏Ⅲ级者予以阴道镜下进行宫颈活检,并进行回顾分析和比较。结果①584例宫颈病变患者,组织病理学检查340例,确诊为慢性宫颈炎的296例(87.69%)宫颈上皮内瘤样变11例(CNI-Ⅲ级)(3.2%),宫颈原位癌27例(8.9%),宫颈浸润癌4例(0.2%),宫颈尖锐湿疣2例(0.1%)。②阴道镜诊断与组织学检查相符合率达92.8%,宫颈癌阳性检出率96.7%。结论阴道镜检查对早期发现宫颈病变有重要价值。
Objective To investigate the diagnostic value of colposcopy in the diagnosis and diagnosis of cervical diseases. Methods 584 cases of cervical lesions in our hospital for colposcopy. Cervical Ⅱ degree of erosion, colposcopy suspicious, cervical scraping Papanicolaou grade Ⅲ underwent colposcopic biopsy and retrospective analysis and comparison. Results ① Among the 584 cases of cervical lesions, 340 cases were diagnosed as histopathological examination, 296 cases (87.69%) were diagnosed as chronic cervicitis, 11 cases were cervical intraepithelial neoplasia (CNI-Ⅲ grade) (3.2%), 27 Cases (8.9%), 4 cases of invasive cervical cancer (0.2%), cervical condyloma in 2 cases (0.1%). ② colposcopy diagnosis and histological examination consistent rate of 92.8%, cervical cancer positive rate was 96.7%. Conclusion colposcopy early detection of cervical lesions have important value.