电子阴道镜与病理学检查早期诊断宫颈癌

目的探讨采用电子阴道镜与病理细胞学检查早期诊断宫颈癌的临床价值。方法应用电子阴道镜观察具有宫颈病变患者350例，对可疑病例实施官颈电环切活检术158例，并对其细胞学结果与电子图谱作对比分析。结果电子阴道镜发现宫颈上皮内瘤变(CIN)32例，宫颈癌10例，宫颈人乳头瘤病毒(HPV)感染12例，慢性宫颈炎295例，宫颈肌瘤1例；与病理检查比较CIN符合率76．7％，官颈癌与HPV感染病例符合率为100％，慢性官颈炎94．1％。结论对生育年龄的妇女定期行电子阴道境检查，并对可疑病变部位进行电环切活检能够早期而准确地发现宫颈癌及癌前病变。

Clinical study of electronic colposcopy and pathological examination in the diagnosis of early cervical cancer lesions

Objective To explore the clinical value of electronic colposcopy and pathological cytology in the diagnosis of early cervical cancer.Methods 350 cases of cervical lesion patients were observed with electronic colposcopy,158 cases of suspicious patients were performed with biopsy of loop electrosurgical excision procedure(LEEP);the results of cytology and electronic atlas were analyzed.Results The electronic colposcopic diagnosis was:34 cases with cervical intraepithelial neoplasia(CIN),11 cases with cervical cancer,14 cases with human papillomavirus(HPV) infection,295 cases with chronic cervicitis,1 case with cervical myoma.The pathological examination showed 23 cases with CIN,the coincidence rate of diagnosis was 76.7%;the coincidence rate of cervical cancer and HPV infection were 100%,chronic cervicitis 94.1%.The high incidences of CIN and HPV infection were found among women from 20 to 40 years old.The high incidence of cervical cancer was found among women from 30 to 50 years old.Conclusion Women with childbearing age should receive electronic colposcopic examination regularly,it can find early and accurately the cervical cancer and CIN or HPV infection with biopsy of LEEP.It has an important significance to prevent and treat cervical cancer.