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目的研究在临床上使用阴道镜对宫颈疾病进行检查的价值。方法 2010年1月至3月来我院妇科门诊就诊8250例患者进行阴道镜检查,分别进行直接观察、3%醋酸棉球和2%碘棉球试药检查,对有宫颈疾病患者进行定量分析。结果阴道镜检查结果发现有3368人(约40.8%)出现宫颈疾病,其中宫颈息肉730人(21.7%),尖锐湿疣379人(11.25%),宫颈黏膜下肌瘤85人(2.52%),可疑有癌前病变及宫颈癌的患者750人(22.27%)。对可疑有癌前病变及宫颈癌的患者取活检送病理,病理结果显示:54.67%(410例)的患者为宫颈炎;45.33%(340例)的患者为宫颈癌及癌前病变,其中18.4%(138例)的患者为CINⅠ;15.33%(115例)的患者为CINⅡ;8.27%(62例)的患者CINⅢ;3.33%(25例)的患者为宫颈癌,有很高的符合率。结论阴道镜检查是临床上用于筛查、检测及诊断宫颈病变的可靠方法,在宫颈疾病的早期诊断及有效治疗方面发挥重要的作用。
Objective To study the clinical value of colposcopy in examining cervical diseases. Methods From January to March 2010, 8250 patients from gynecology outpatient department of our hospital were examined by colposcopy. Direct observation, 3% acetate cotton ball and 2% iodine cotton ball test were performed respectively, and the patients with cervical disease were quantitatively analyzed . Results Colposcopy showed that 3368 (40.8%) patients had cervical diseases, including 730 cases of cervical polyps (21.7%), 379 cases of condylomata acuminata (11.25%) and 85 (2.52%) cases of cervical submucous myoma. There are 750 patients with precancerous lesions and cervical cancer (22.27%). The patients with suspected precancerous lesions and cervical cancer were biopsied for pathology. The pathological findings showed that 54.67% (410 cases) were cervicitis and 45.33% (340 cases) were cervical cancer and precancerous lesions, of which 18.4 (138 cases) were CINⅠ; 15.33% (115 cases) were CINⅡ; 8.27% (62 cases) were CINⅢ; 3.33% (25 cases) were cervical cancer with a high coincidence rate. Conclusion Colposcopy is a reliable clinical method for screening, detecting and diagnosing cervical lesions. It plays an important role in the early diagnosis and effective treatment of cervical diseases.