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目的:探讨阴道镜下活检对宫颈疾病的诊断价值。方法:对2006年4月~2009年12月来青田县妇幼保健所妇科门诊行阴道镜检查发现异常图像的患者行宫颈活组织病理检查的结果进行分析。结果:513例患者行阴道镜下活检,其中病理诊断慢性宫颈炎340例(66.28%);CIN147例(28.65%),其中CINⅠ59例(11.50%),CINⅡ39例(7.60%),CINⅢ49例(9.55%);宫颈癌14例(2.73%);宫颈湿疣12例(2.34%)。结论:近年来宫颈癌及宫颈癌前病变的发生有上升趋势,且好发年龄趋向年轻化。阴道镜检查宜作为宫颈防癌检查的常规检查手段,采用阴道镜下定点活检能显著提高CIN和宫颈癌的早期诊断率,是筛查CIN及宫颈癌安全、经济、有效的方法。
Objective: To investigate the diagnostic value of colposcopy biopsy for cervical diseases. Methods: From April 2006 to December 2009, the results of colposcopic biopsy were analyzed in patients with abnormal images found by colposcopy in Gynecological Clinic of MCH in Qingtian County. Results: Among the 513 cases, colposcopic biopsy was performed in 513 cases, of which pathological diagnosis of chronic cervicitis was performed in 340 cases (66.28%) and in CIN in 147 cases (28.65%), of which CINⅠ59 cases (11.50%), CINⅡ39 cases %); Cervical cancer in 14 cases (2.73%); cervical condyloma in 12 cases (2.34%). Conclusion: In recent years, cervical cancer and cervical precancerous lesions have an upward trend, and the age of onset tend to be younger. Colposcopy should be used as a routine examination of cervical cancer prevention, colposcopy biopsy can significantly improve the early diagnosis of CIN and cervical cancer is a screening, screening CIN and cervical cancer safe, economical and effective method.