阴道镜图像对宫颈病变的诊断价值

目的评价阴道镜图像对宫颈病变的诊断价值。方法 2005年4月—2008年3月我院妇产科门诊对1578例宫颈液基细胞学检查（TCT）阳性的患者进行阴道镜检查,根据阴道镜图像进行分析并定位取活组织送病理检查。结果将1578例阴道镜拟诊与活检组织病理学结果进行对照,诊断符合率分别为炎症93.78%,亚临床乳头状瘤病毒（HPV）感染91.60%,子宫颈上皮内瘤样变（CIN）Ⅰ84.67%,CINⅡ92.31%,CINⅢ94.92%,宫颈癌100.00%。结论阴道镜拟诊与组织病理学有较高的符合率,仔细辨认和分析阴道镜图像是正确定位取活检与可靠病理诊断的前提,尤其是对CIN和宫颈癌可显著提高诊断的准确率,对降低宫颈癌的发病率和死亡率有重要意义。

Evaluation of colposcopy picture in the diagnosis of cervical lesion

Objective To study the value of colposcopy picture in the diagnosis of cervical lesion.Methods Colposcopic inspections and biopsies were performed on 1 578 cases women between April 2005 and March 2008 in Department of Obstetrics and Gynecology, Naval General Hospital of PLA.Results Comparing colposcopic diagnosis with pathological outcome,the coincidence rates were 93.78%for cervicitis,91.60%for subclinical papillomavirus infection,84.67%for CIN？？？.31%for CIN？？？.92%for CIN？？？ 100.00%for uterine cervical neoplasms.Conclusion Colposcopic diagnosis has a high coincidence rate with biopsy.Colposcopy has an important role in early diagnosis of CIN and cervical carcinoma.