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目的分析宫颈上皮内瘤样病变(CIN)与宫颈湿疣阴道镜图像的差异。方法通过对病理诊断为CIN(108例)和宫颈湿疣(226例)患者的阴道镜图像进行对比分析,并用χ2进行统计学检验。结果二者在醋酸白色上皮厚薄、消退快慢、边界及异型血管、镶嵌、芥末黄和病变形态上比较有显著性差异。异型血管、镶嵌或芥末黄的出现多为CIN;而宫颈湿疣的醋酸白色上皮更厚、消退更慢、边界更清楚,且可在移行区外。同时,二者在形态学上亦有差异。结论异型血管、镶嵌或芥末黄的出现应多考虑CIN,而宫颈湿疣应特别注意醋酸白色上皮的部位、厚薄、持久性、边界以及病变的形态。
Objective To analyze the differences between cervical intraepithelial neoplasia (CIN) and colposcopy of cervical condyloma. Methods The colposcopy images of patients diagnosed as CIN (108 cases) and cervical condyloma acuminatum (226 cases) were compared and statistically tested with χ2. Results both in the acetic acid white epithelial thickness, extinction speed, borderline and abnormal blood vessels, mosaic, mustard yellow and lesions morphological differences were significantly different. The appearance of abnormal blood vessels, inlaid or mustard yellow is mostly CIN; while cervical condyloma acuminata acetate thicker white, more subsided, border more clearly, and can be outside the transition zone. At the same time, the two are also morphologically different. Conclusions CIN should be considered in the diagnosis of allogeneic vessels, inlaid or mustard yellow, and the location, thickness, persistence, boundary and lesion morphology of the white epithelium of acetic acid should be paid special attention to.