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目的分析和研究阴道镜结合病理活检在宫颈病变治疗前的使用价值。方法 600例进行宫颈病变筛查妇女,均实行阴道镜结合病理活检,并对比患者阴道镜图像变化情况、病理活检诊断情况以及两者的诊断符合情况。结果阴道镜确诊出慢性宫颈炎的准确率为95.8%,确诊宫颈上皮内瘤变(CIN)Ⅰ的准确率为91.4%,确诊CINⅡ的准确率为60.3%,确诊CINⅢ的准确率为80.0%,确诊宫颈癌的准确率为76.5%。结论采用阴道镜结合病理活检的方法对妇女进行宫颈病变筛查,有助于提升宫颈病变筛查的准确性,最大程度的降低误诊几率。
Objective To analyze and study the value of colposcopy combined with pathological biopsy before treatment of cervical lesions. Methods A total of 600 women with cervical lesions underwent colposcopy combined with pathological biopsy. The changes of the colposcopy images, pathological biopsy and their diagnosis were compared. Results The accuracy rate of colitis confirmed by colposcopy was 95.8%. The accuracy of diagnosing cervical intraepithelial neoplasia (CIN) Ⅰ was 91.4%, the accuracy of diagnosing CIN Ⅱ was 60.3%, the accuracy of diagnosing CIN Ⅲ was 80.0% The accuracy of diagnosing cervical cancer was 76.5%. Conclusion Colposcopy combined with pathological biopsy for screening women for cervical lesions can help improve the accuracy of cervical lesions screening to minimize the risk of misdiagnosis.