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目的:探讨阴道镜下活检对宫颈病变诊断治疗价值。方法:分析符合阴道镜检查指征的885例阴道镜下常规活检病理资料。结果:病理确诊宫颈癌3例,宫颈上皮内瘤变(CIN)63例,HPV感染106例,宫颈息肉30例,宫颈炎683例;66例宫颈病理学阳性中,宫颈中糜及以上阳性检出30例(45.45%),其中检出7例CINⅠ,9例CINⅡ,11例CINⅢ,宫颈癌3例;319例巴氏Ⅱ级的患者中,检出9例CINⅠ,12例CINⅡ,14例CINⅢ,宫颈癌1例;宫颈病变以30～39岁最高,40～49岁次之。结论:采用阴道镜检查结合病理能及早发现宫颈癌前病变,是宫颈癌筛查方便安全的检查方法。
Objective: To investigate the value of colposcopic biopsy in the diagnosis and treatment of cervical lesions. Methods: 885 colposcopic biopsies under colposcopy in accordance with colposcopy were analyzed. Results: The pathological diagnosis of cervical cancer in 3 cases, 63 cases of cervical intraepithelial neoplasia (CIN), 106 cases of HPV infection, 30 cases of cervical polyps, cervicitis 683 cases; 66 cases of cervical pathology positive, Out of 30 patients (45.45%), there were 7 cases of CINⅠ, 9 cases of CINⅡ, 11 cases of CINⅢ and 3 cases of cervical cancer. Among the 319 cases of Pasteur class Ⅱ, 9 cases of CINⅠ, 12 cases of CINⅡ, 14 cases CIN Ⅲ, cervical cancer in 1 case; cervical lesions to 30 to 39 years old the highest, followed by 40 to 49 years. Conclusion: Colposcopy combined with pathology can detect early cervical precancerous lesions, cervical cancer screening convenient and safe method of inspection.