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目的:探讨影视阴道镜在子宫颈疾病诊断中的临床意义。方法:回顾性分析280例宫颈细胞学异常患者(其中ASC-US30例、LSIL192例、HSIL58例),阴道镜下行多点活检明确组织学诊断,252例合并有高危HPV病毒阳性(90.0%),9例为低危HPV病毒阳性(3.2%)。结果:本组阴道镜柱状上皮外移及慢性宫颈炎症64例,SPI和CINⅠ共116例,尖锐湿疣5例,CINⅡ～Ⅲ共80例,宫颈浸润癌15例。所有标本均经组织病理学检查,确诊为柱状上皮外移及慢性宫颈炎症61例,SPI和CINⅠ109例,尖锐湿疣4例,CINⅡ～Ⅲ73例,浸润癌14例,阴道镜诊断与组织病理学检查诊断符合率依次为95.3%、93.9%、80.0%、91.3%和93.3%,阴道镜诊断符合率达93.2%(261/280)。结论:影视阴道镜检查准确、可靠,对早期宫颈癌具有重要的诊断价值,提高了子宫颈病变诊断精确度。
Objective: To investigate the clinical significance of video colposcopy in the diagnosis of cervical diseases. Methods: A retrospective analysis of 280 cases of cervical cytology abnormalities (including ASC-US30 cases, LSIL192 cases, HSIL58 cases), colposcopy multi-biopsy confirmed by histological diagnosis, 252 cases were associated with high-risk HPV positive (90.0%), Nine cases were positive for low-risk HPV (3.2%). Results: There were 64 cases of colposcopic epithelial exudation and chronic cervicitis in this group. There were 116 cases of SPI and CINⅠ, 5 cases of condyloma acuminata, 80 cases of CINⅡ ~ Ⅲ and 15 cases of invasive cervical carcinoma. All specimens were histopathologically confirmed 61 cases of columnar epithelial relocation and chronic cervicitis, SPI and CIN Ⅰ 109 cases, 4 cases of genital warts, CIN Ⅱ ~ Ⅲ 73 cases, invasive carcinoma in 14 cases, colposcopy and histopathological examination The diagnostic coincidence rates were 95.3%, 93.9%, 80.0%, 91.3% and 93.3%, respectively. The coincidence rate of colposcopy was 93.2% (261/280). Conclusion: Video colposcopy is accurate and reliable, which has important diagnostic value for early cervical cancer and improves the diagnostic accuracy of cervical lesions.