目的 :探讨宫颈湿疣阴道镜下的诊断价值及激光治疗的疗效。方法 :自 1999年 9月至 2 0 0 0年 9月间就诊于阴道镜门诊的 177例患者均作阴道镜检察并作镜下活检。治疗方法 :CO2 激光气化治疗。结果 :其中经临床诊断为宫颈尖锐湿疣的为 4 3例 ,经阴道镜诊断为宫颈尖锐湿疣 81例 ,扁平型湿疣 80例 ,故宫颈湿疣的临床诊断检出率 2 4 .3 ,漏诊率 75 .7 ,阴道镜诊断检出率 91.0 ,漏诊率 9。在 96例扁平型患者中 ,一次治愈 74例 (占 77.1 ) ,二次治愈 2 0例 (占 2 0 .8 ) ,三次治愈 2例 (占 2 .1 )。 81例尖锐型患者中 ,一次治愈 78例 (占 96 .3 ) ,二次治愈 3例 (占 3.7 )。 177例宫颈湿疣 ,一次治愈率 85 .9 ,二次治愈率 98.9 ,三次治愈率 10 0。结论 :阴道镜检查为诊断宫颈湿疣的一种敏感性高的诊断方法 ,CO2 激光是一种安全 ,可靠 ,有效的治疗方法 Objective: To investigate the value of colposcopy in the diagnosis of cervical condyloma and the efficacy of laser treatment. METHODS: A total of 177 patients who visited the colposcopy clinic from September 1999 to September 2000 underwent colposcopy and biopsies. Treatment: CO2 laser vaporization treatment. Results: 43 cases of cervical condyloma acuminatum were diagnosed clinically, 81 cases of cervical condyloma acuminatum and 80 cases of flat condyloma were diagnosed by colposcopy. The diagnosis rate of cervical condyloma acuminatum was 24.3%, the rate of misdiagnosis 75 .7 , colposcopy diagnosis rate of 91.0 , misdiagnosis rate of 9 . Among the 96 flat patients, 74 were cured at one time (77.1%), 20 were cured at second time (20.8%) and 2 were cured at three times (2 .1%). In 81 cases of sharp type, 78 cases (96.3%) were cured at one time and 3 cases (3.7%) were cured at second time. 177 cases of cervical condyloma, a cure rate of 85 .9 , the second cure rate was 98.9 , the third cure rate 10 0 . CONCLUSION: Colposcopy is a sensitive diagnostic method for diagnosing cervical condyloma. CO2 laser is a safe, reliable and effective treatment