阴道镜用于体检筛查宫颈癌前病变的价值

目的:探讨阴道镜在体检无症状妇女中发现宫颈亚临床型人乳头瘤病毒感染(SPI)和宫颈上皮内瘤样病变(CIN)的价值及可行性。方法:对2004年5月～2005年4月在体检妇女中选择阴道镜套餐的1933例资料进行总结分析。结果:在1933例阴道镜检查中,诊断为异常阴道镜图像并取活检者239例。病理组织学诊断为慢性宫颈炎26例,宫颈湿疣105例,CINI级57例,CINⅡ级26例,CINⅢ级20例,原位癌3例,早期浸润癌及浸润癌各1例。结论:阴道镜用于体检人群可大大增加早期宫颈癌及癌前病变的检出率,弥补现阶段体检中仍在广泛使用的宫颈刮片的不足,减少漏诊,提高普查质量。

The Worth of Vaginoscopy Screening Cervical Precancerous Changes in Physical Examination

Objective:To study the worth and feasibility of finding out sub clinical HPV infection and CIN with vaginoscopy when physical examination of healthy women.Methods:The data of 1963 cases who selected vaginoscopy when came to our institution for physical examination during May 2004 to Apple 2005 were analyzed.Results:Of 1963 cases of vaginoscopy 239 cases were found .Abnormal and biopsies were done for them. Their pathological diagnosis were 26 chronic cervicitis, 105 cervical condyloma, 57 one grade CIN, 26 two grade CIN, 20 three grade CIN,3 carcinoma in situ, one early infiltrating carcinoma and one infiltrating carcinoma.Conclusion:Vaginoscopy can be used to increase the checking out rate of early cervical cancer and precancerous lesion and to remedy the defect of checking with cervical smear still used abroad nowadays to improve the examination quality and lessen misdiagnosis.