论文部分内容阅读
目的:确定阴道细胞学检查联合电子阴道镜检查对诊断宫颈病变的价值。方法:对152例因阴道细胞学检查异常的患者进行联合电子阴道镜检查。其中良性病变:50例,ASCUS:34例,HSIL:30例,LSIL:26例,癌:12例。结果:根据细胞学结果在阴道镜下取活检后的结果为:良性病变中炎症占80.0％(40/50)、CIN14.0％、癌占2.0％(1/50);ASCUS中炎症占61.8％(21/34)、CIN占35.3％(12/34)、癌占2.9％(1/34);HSII中炎症占10.0％(3/30)、CIN占66.7％(20/30)、癌占20％(6/30);LSIL中炎症占19.2％(5/26)、CIN占76.9％(20/26)、癌占3.8％(1/26),细胞学报告为癌者中CIN(原位癌)占16.7％(2/12)、癌占66.7％(8/12)、乳头状疣占16.6％(2/12)。结论:电子阴道镜检查结合阴道细胞学定位活组织检查,提高了宫颈病变的诊断准确性,尤其是对诊断临床上无症状并且宫颈外观无肿瘤形态的宫颈上皮内瘤变及子宫颈早期癌变更有意义。
Objective: To determine the value of vaginal cytology combined with electronic colposcopy in the diagnosis of cervical lesions. Methods: 152 cases of vaginal cytology abnormalities in patients with joint electronic colposcopy. The benign lesions: 50 cases, ASCUS: 34 cases, HSIL: 30 cases, LSIL: 26 cases, cancer: 12 cases. Results: According to the result of cytology, colposcopy biopsy results were as follows: inflammation in benign lesions accounted for 80.0% (40/50), CIN14.0%, cancer accounted for 2.0% (1/50); ASCUS inflammation accounted for 61.8 (21/34), CIN accounted for 35.3% (12/34), cancer accounted for 2.9% (1/34); HSII inflammation accounted for 10.0% (3/30), CIN accounted for 66.7% (20/30) Accounting for 20% (6/30); inflammation in LSIL accounted for 19.2% (5/26), CIN accounted for 76.9% (20/26), cancer accounted for 3.8% (1/26), cytology reported for cancer in CIN Carcinoma in situ accounted for 16.7% (2/12), cancer accounted for 66.7% (8/12) and papillary warts accounted for 16.6% (2/12). Conclusion: Electron colposcopy combined with vaginal cytology biopsy improves the diagnostic accuracy of cervical lesions, especially for the diagnosis of cervical intraepithelial neoplasia and cervical precancerous lesions without clinically asymptomatic and cervical appearance Significant.