阴道镜检查在宫颈病变中的诊断价值

目的 评价阴道镜检查对宫颈疾病的诊断价值。方法对169例阴道镜检查的患者在镜下取活检。结果阴道镜拟诊为慢性宫颈炎121例（71．6％）、宫颈上皮内瘤样变27例（16．0％）、宫颈癌6例（3．6％）、宫颈息肉8例（4．7％）、宫颈尖锐湿疣7例（4．1％）。活检病理报告为慢性宫颈炎123例（72．8％）、宫颈上皮内瘤样变26例（15．4％），宫颈癌6例（3．6％）、宫颈息肉8例（4．7％）、宫颈尖锐湿疣6例（3．6％）。阴道镜拟诊的灵敏度、特异度均较高。结论阴道镜对宫颈疾病的拟诊结果与病理诊断结果有较高的符合率，对宫颈病变的诊断具有很重要的诊断价值。阴道镜检查与病理诊断的有机结合可以明显提高宫颈病变诊断的准确性。

Diagnostic value of colposcopy in cervical lesions

Objective To assess the diaghosis vaIne of colposcopy in cervical disease.Methods 169 with patients colposcopyaere admitted in endoscopic biopsy.Results Colposeopy to be diagnosed as chronic cervicifis 121 cases(71.6%),cervical intraepithelial neoplasia 27 cases(16.0%),6 cases of cervical cancer(3.6%),8 cases of cervical polyps(4.7%),incisive condyloma 7 cases(4.1%).Biopsy pathology report to the chronic cervicitis 123 cases(72.8%),cervical intraepithehal neoplasia 26 cases(15.4%),6 cases of cervical cancer(3.6%),8 cases of cervical polyps(4.7%),incisive condybma 6 cases(3.6%).The sensitivity and specificity of colposcopy higher.Conclusion Colposcopy for cervical disease is similar to the result of the pathology results,Which has a very imporrant diagnostic value.Combining colposcopy and pathological diagnosis of a certain relevance,the organic integration of the two can significantly improve the accuracy of diagnosis of cervical lesions.