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目的探讨阴道镜在基层医院用于筛查已婚妇女宫颈病变的可行性。方法选择2011年1月至2011年12月在本院妇保门诊进行妇科检查的2294例患者资料进行分析总结。结果在拟诊为异常阴道镜所见的301例中,除82例患者拒绝活检外,共获得组织学结果219例。HC-2检测112例,HC-2(第二代基因杂交捕获技术)阳性67例,阴性45例;取宫颈活检107例,病理组织学诊断为慢性宫颈炎18例,宫颈湿疣31例,CINⅠ23例,CINⅡ15例,CINⅢ10例,原位癌3例,早期浸润癌2例,浸润癌5例。结论阴道镜具有无创、无痛、可重复性等特点,值得临床推广。
Objective To explore the feasibility of colposcopy screening of cervical lesions in married women in primary hospitals. Methods From January 2011 to December 2011 in our hospital gynecological clinic gynecological examination of 2294 patients were analyzed and summarized. Results Among the 301 patients who were diagnosed as abnormal colposcopy, 219 patients had histological findings except 82 patients who refused biopsy. HC-2 detection in 112 cases, HC-2 (second-generation hybridization capture technology) 67 cases were positive and negative in 45 cases; 107 cases of cervical biopsy, pathological diagnosis of chronic cervicitis in 18 cases, 31 cases of cervical condyloma, CIN Ⅰ 23 Cases, CIN Ⅱ 15 cases, CIN Ⅲ 10 cases, carcinoma in situ in 3 cases, early invasive carcinoma in 2 cases, invasive carcinoma in 5 cases. Conclusion colposcopy with noninvasive, painless, reproducible characteristics, worthy of clinical promotion.