阴道镜在基层医院宫颈病变中的应用

目的 探讨阴道镜检查在基层医院中的应用价值，尤其评估其在宫颈病变临床诊疗中的作用。方法 将2019 年6～12 月在内蒙古自治区包头市中心医院就诊行阴道镜检查同时行宫颈活检术的60 例患者纳入研究，对其临床资料进行回顾性分析，60 例患者在行阴道镜检查前均行宫颈液基薄层细胞学检测（TCT）和高危人乳头状瘤病毒（HPV）检测，与活检术后病理结果相比较，评价阴道镜检查在宫颈病变诊断中的准确性。结果本研究60例患者的年龄21～72 岁，平均（46.40±2.65）岁。以患者宫颈活检术后病理诊断为最终病理诊断，并作为金标准。阴道镜拟诊断为低级别鳞状上皮内瘤变者22 例，高级别鳞状上皮内瘤变者28 例，慢性炎症7 例，宫颈浸润癌2 例，阴道壁癌1 例。结论 阴道镜应用于宫颈病变的检查中，具有直观性，为临床诊断提供重要的参考依据。

Application of colposcopy in cervical lesions in primary hospitals

Objective To explore the application value of colposcopy in primary hospitals,especially to evaluate its role in the clinical diagnosis and treatment of cervical lesions.Methods Sixty patients who underwent colposcopy and cervical biopsy in Inner Mongolia Autonomous Region Baotou Central Hospital from June to December 2019 were included in the study.Its clinical data were retrospectively analyzed.Sixty patients were given cervical liquid-based thin-layer cytology (TCT) and high-risk human papillomavirus (HPV) tests before colposcopy.Compared with the pathological results after biopsy,the accuracy of colposcopy in the diagnosis of cervical lesions was evaluated.Results Sixty patients in this study were 21-72 years old,with an average age of(46.40±2.65) years old.The pathological diagnosis after the patient''s cervical biopsy was taken as the final pathological diagnosis,and was used as the gold standard.There were 22 cases of low-grade squamous intraepithelial lesions diagnosed by colposcopy,28 cases of high-grade squamous intraepithelial lesions,7 cases of chronic inflammation,2 cases of cervical invasive carcinoma,and one case of vaginal wall cancer.Conclusion The application of colposcopy in the examination of cervical lesions is straightforward and can provide an important reference for clinical diagnosis.