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目的:探讨电子阴道镜检查在宫颈疾病诊断中的应用。方法:2007年3月～2011年3月在大连医科大学附属第一医院宫颈病变门诊进行电子阴道镜检查的1 600例患者中,有1 210例行活组织病理检查,对阴道镜诊断与组织病理学检查结果进行比较分析。结果:活组织病理检查1 210例中,病理诊断为宫颈炎553例,宫颈息肉15例,宫颈尖锐湿疣27例,宫颈上皮内瘤样病变(CIN)Ⅰ236例,CINⅡ～Ⅲ348例,宫颈癌(SCC)31例。诊断符合率分别为:宫颈炎及宫颈息肉97.0%、CINⅠ92.6%、CINⅡ93.2%、CINⅢ68.2%、高度病变(CINⅡ～Ⅲ)91.7%、SCC 80.6%。结论:电子阴道镜检查是诊断宫颈疾病,尤其是CIN和宫颈癌的重要工具,但也存在一定局限性。
Objective: To explore the application of electronic colposcopy in the diagnosis of cervical diseases. Methods: Of the 1 600 patients undergoing electronic colposcopy at the First Affiliated Hospital of Dalian Medical University from March 2007 to March 2011, 1210 patients underwent biopsy, Pathological examination results were compared. Results: The pathological examination of 1 210 cases of pathological diagnosis of cervicitis in 553 cases, 15 cases of cervical polyps, cervical condyloma acuminatum in 27 cases, cervical intraepithelial neoplasia (CIN) Ⅰ 236 cases, CIN Ⅱ ~ Ⅲ 348 cases of cervical cancer ( SCC) in 31 cases. The diagnostic coincidence rate was 97.0% for cervicitis and cervical polyp, 92.6% for CIN, 93.2% for CINⅡ, 68.2% for CINⅢ, 91.7% for CINⅡⅢ and 80.6% for SCC. Conclusion: Electronic colposcopy is an important tool to diagnose cervical diseases, especially CIN and cervical cancer, but there are some limitations.