【作者】 钟雪辉； 胡丽芳；

【Author】 ZHONG Xue - hui, HU Li - fang (Department of Obstetrics and Gynecology, the Fourth Hospital, Changsha, Hunan 410006, P. R. China)

【机构】 长沙市四医院妇科；

【摘要】 目的评价阴道镜检查对宫颈疾病诊断的价值。方法对265例阴道镜检查的患者在镜下取活检。结果经病理证实,慢性宫颈炎187例,宫颈息肉46例,宫颈湿疣17例,宫颈上皮内瘤样病变(CIN)13 例,宫颈癌2例。临床诊断宫颈湿疣14例,阴道镜下诊断宫颈湿疣17例(已经病理证实),漏诊3例占17.6%,阴道镜下诊断CIN33例(病理诊断有慢性宫颈炎的有20例),诊断符合率为39.69%。结论阴道镜对宫颈尖锐湿疣、CIN的早期诊断有重要意义,可作为早期诊断宫颈尖锐湿疣、CIN的一项可行、有价值的检查方法。更多还原

【Abstract】 [ Objective ] The value of vaginascope examination for the unerine neck disease. [ Method ] 265 patients were biopsied by vaginascope examination. [Result] By pathology confirmation, there were chronicity cer-vicitis 187 cases, cervical polyp 46 cases, cervical condyloma acuminatum 17 cases, CIN (cervical intraepithelial neoplasia)13 cases, cervical carcinoma 2 cases. There were 14 cases cervical condyloma acuminatum diagnosed by clinical analysis, and 17 cases by vaginascope examination (pathology confirmed). There were 3 missed diagnosis cases,which took 17.6%. And there were 33 cases CIN diagnosed by vaginascope examination (there were 20 cases chronicity cervicetis diagnosed by biopsy) , the diagnostic accordancerate was 39. 69%. [Conclusion] The vaginascope examination is important for the early diagnosis of cervical condyloma acuminatum and the CIN, and it is also a doable and valuable method for them.更多还原