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目的评价电子阴道镜下宫颈活检对宫颈病变的诊断价值。方法应用电子阴道镜结合病理检查对宫颈病变进行筛查,以病理结果为诊断标准,对结果进行分析。结果电子阴道镜检查9580例,1500例在电子阴道镜下行宫颈活检术,病理结果显示:宫颈癌47例,CIN205例,宫颈炎性病变1248例,电子阴道镜诊断宫颈癌及CIN的符合率分别为97.92%和96.24%。结论电子阴道镜作为一种临床诊断方法,其诊断的准确性与阴道镜图像的特异性,阴道镜医生的经验技术,活检标本的大小等因素有关。借助电子阴道镜使病变图像清晰更方便定位活检,对CIN早期诊断,早期治疗及降低宫颈癌的发生率有重要价值。
Objective To evaluate the diagnostic value of electronic colposcopy cervical biopsy for cervical lesions. Methods Cervical lesions were screened by electronic colposcopy combined with pathological examination. The pathological findings were used as the diagnostic criteria and the results were analyzed. Results Electronic colposcopy 9580 cases, 1500 cases of cervical biopsy under electron colposcopy, the pathological results showed that: 47 cases of cervical cancer, CIN205 cases, 1248 cases of cervical inflammatory lesions, electronic colposcopy diagnosis of cervical cancer and CIN coincidence rates were 97.92% and 96.24% respectively. Conclusion Electronic colposcopy as a clinical diagnostic method, the diagnostic accuracy of colposcopy images with the specificity of colposcopy doctors experience techniques, the size of the biopsy specimens and other factors. Using electronic colposcopy to make the lesion clear and more convenient for biopsy, it is of great value in the early diagnosis, early treatment of CIN and the incidence of cervical cancer.