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目的:探讨阴道镜诊断宫颈病变的临床方法及效果。方法:对2014年1月至2015年1月在我院行阴道镜检查的100例患者的临床资料进行回顾性分析。将阴道镜检查结果与病理学检查结果进行对照研究,评价诊断符合率。结果:宫颈炎性病变58例,其中慢性宫颈炎34例,宫颈息肉12例,宫颈湿疵12例;CIN 36例,其中CIN I 22例,CIN II 8例,CINⅢ6例;宫颈癌6例;阴道镜下诊断宫颈炎病变诊断符合率82.76%(48/58),诊断CINⅠ的符合率为72.72%(16/22),CIN II,CIN III及宫颈癌诊断符合率均达100%。结论:宫颈病变利用阴道镜的检测具有较高的诊断准确性,可以在早期发现宫颈癌变情况,但是标准仍然需要坚持病检;诊断宫颈病变的有效方法是阴道镜下宫颈定位活检结合宫颈管诊刮术。
Objective: To explore the clinical method and effect of colposcopy in diagnosis of cervical lesions. Methods: The clinical data of 100 patients undergoing colposcopy in our hospital from January 2014 to January 2015 were analyzed retrospectively. Colposcopy results and pathological examination results were compared to evaluate the diagnostic accuracy. Results: Cervical inflammatory lesions in 58 cases, of which chronic cervicitis in 34 cases, 12 cases of cervical polyps, cervical wet defects in 12 cases; CIN 36 cases, including CIN I 22 cases, CIN II 8 cases, CIN Ⅲ 6 cases; 6 cases of cervical cancer; The coincidence rate of colposcopy diagnosis of cervicitis was 82.76% (48/58). The coincidence rate of diagnosis of CIN Ⅰ was 72.72% (16/22). The coincidence rate of CIN II, CIN III and cervical cancer was 100%. Conclusion: Cervical lesions using colposcopy detection with high diagnostic accuracy, early detection of cervical cancer can be found, but the standard still need to adhere to the pathological examination; effective method of diagnosis of cervical lesions is colposcopic cervical biopsy and cervical canal diagnosis Shaving surgery.