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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 35 0例 ,对可疑病例实施宫颈电环切活检术 15 8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 2 95例 ,宫颈肌瘤 1例 ;与病理检查比较CIN符合率 76 7% ,宫颈癌与HPV感染病例符合率为 10 0 % ,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。
Objective To investigate the clinical value of early diagnosis of cervical cancer by electron colposcopy and pathological cytology. Methods 35 cases of cervical lesions were observed by electron colposcopy. Fifteen of the 38 cases of suspected cervical spondylosis underwent cervical electrosurgical excision and biopsy, and the cytological results and electronic spectra were compared. Results 32 cases of cervical intraepithelial neoplasia (CIN), 10 cases of cervical cancer, 12 cases of cervical papillomavirus (HPV) infection, 2 95 cases of chronic cervicitis and 1 case of cervical myoma were found by electronic colposcopy. Compared with pathological examination The coincidence rate of CIN was 76.7%. The coincidence rate of cervical cancer and HPV infection was 100% and 94.1% of chronic cervicitis. Conclusions The women of childbearing age regularly conduct electronic vaginal examination and electrosurgical biopsy of suspicious lesions can detect cervical cancer and precancerous lesions early and accurately.