宫颈锥切术后与阴道镜下活检对宫颈上皮内瘤变诊断价值的探讨

目的：探讨宫颈锥切术后病理检查和阴道镜下活检在诊断宫颈上皮内瘤变（CIN）中的价值。方法：对101例阴道镜活检诊断为CIN的患者行宫颈锥切术，对比手术前后的病理结果。结果：13例阴道镜活检病理为CINI级病例中，9例与宫颈锥切术病理相符，3例宫颈锥切术后病理级别上升，1例病理级别下降；46例阴道镜活检病理CINⅡ级病例中，27例与宫颈锥切病理相符，7例宫颈锥切病理级别上升，12例病理级别下降；42例阴道镜活检病理为CINm级病例中，25例与宫颈锥切病理相符，7例宫颈锥切病理级别上升，10例病理级别下降。结论：阴道镜下活检是诊断CIN的一种简单而有效的方法。宫颈锥切术可以弥补阴道镜下活检的缺陷．且有治疗作用．

Diagnostic value of conization of cervix and pathologic histology with vaginoscope in diagnosing cervical intraepithelial neoplasia

Objective： To compare the diagnostic value of conization of cervix and pathologic histology with vaginoscope in diagnosing cervical intraepithelial neoplasia（CIN）. Methods： 101 patients who were diagnosed CIN with pathologic histology with vaginoscope were operated on conization of cervix, and compared the pathologic results before and after the operation. Results： Within 13 cases of CIN I degree diagnosed of pathologic histology with vaginoscope, 9 cases were coincident with the result of conization of cervix, the pathologic degree of 3 cases increased after the operation and 1 case decreased; within 46 cases of CIN Ⅱ degree diagnosed of pathologic histologh with vaginoscope, 27 cases were coincident with the result of coization of cervix, the pathologic degree of 7 cases increased after the operation and 10 cases decreased. Conclusion： Pathologic histology with vaginoscope is a simple and effective method for diagnosing CIN, conization of cervix can remedy the defect of the pathologic histology with vaginoscope and shows a therapeutical effect.