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目的探讨阴道镜在宫颈癌前病变诊断中的价值、临床意义。方法对2005～2008年在泸定县人民医院就诊的325例高危宫颈疾病患者的阴道镜检查及宫颈活组织检查结果进行回顾性分析和比较。结果 325例高危宫颈疾病患者病理确诊为宫颈上皮内瘤变(CINⅠ～Ⅲ级)116例,浸润癌1例,宫颈鳞癌3例。结论基层医院妇科普查结合阴道镜检查和病理活检可以早期诊断宫颈癌前病变及宫颈癌,对宫颈癌前病变及宫颈癌的早期诊断、早期治疗、降低死亡率有明显意义。
Objective To investigate the value of colposcopy in the diagnosis of cervical precancerous lesions and its clinical significance. Methods The colposcopy and cervical biopsy results of 325 cases of high risk cervical disease treated in Luding County People’s Hospital from 2005 to 2008 were retrospectively analyzed and compared. Results A total of 325 cases of high risk cervical disease were diagnosed as 116 cases of cervical intraepithelial neoplasia (CINⅠ ~ Ⅲ grade), 1 case of invasive carcinoma and 3 cases of cervical squamous cell carcinoma. Conclusions Primary gynecological screening combined with colposcopy and pathological biopsy can diagnose precancerous lesions of cervical cancer and cervical cancer in the early stage. It has obvious significance for early diagnosis, early treatment and reduction of mortality of cervical precancerous lesions and cervical cancer.