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目的观察电子阴道镜筛查诊断宫颈病变的临床价值。方法回顾性分析本院2011年01月~2012年12月期间门诊就医的290例宫颈病变的患者临床资料,比较电子阴道镜检查与宫颈活检组织学检查结果差异及不同年龄电子阴道镜检查的差异。结果 290例宫颈病变的患者,电子阴道镜检查结果 ,发现宫颈炎症243例,宫颈上皮内瘤样病变(CIN)I级28例,CINI I~Ⅲ级14例,宫颈癌5例。镜下定位活检送病理诊断确诊CIN I级25例,CINI I~Ⅲ级13例,宫颈癌5例,确诊率分别为89.29%、92.86%和100%。宫颈疾病在年龄分布上,其中以31~50岁发病者所占比例最大,为CIN和CIS的发病高峰。结论应用电子阴道镜对宫颈病变进行筛查,准确率较高,能够早期发现CIN病变,配合组织学检查更能明确诊断,对患者无创伤,可反复检查,对宫颈病变的筛查具有重要价值。
Objective To observe the clinical value of electron colposcopy in the diagnosis of cervical lesions. Methods A retrospective analysis of clinical data of 290 patients with cervical lesions treated in our hospital from January 2011 to December 2012 was retrospectively analyzed. The difference between electronic colposcopy and cervical biopsy histological examination and electronic colposcopy at different ages were compared . Results 290 cases of cervical lesions, electronic colposcopy results found that 243 cases of cervical inflammation, cervical intraepithelial neoplasia (CIN) I grade 28 cases, CINI I ~ Ⅲ grade 14 cases of cervical cancer in 5 cases. Microscope biopsy sentinel diagnosis confirmed CIN I grade in 25 cases, CINI I ~ III grade in 13 cases, cervical cancer in 5 cases, the diagnosis rate was 89.29%, 92.86% and 100%. Cervical disease in the age distribution, of which 31 to 50-year-old the largest proportion of the incidence for the peak incidence of CIN and CIS. Conclusions Screening cervical lesions with electronic colposcopy has high accuracy, early detection of CIN lesions, better diagnosis with histological examination, no trauma to patients and repeated examination. It is of great value in the screening of cervical lesions .