【摘要】 目的探讨阴道镜下子宫颈不典型转变区的远期演变规律。方法回顾总结本院防癌专科门诊阴道镜检查诊断为子宫颈不典型转变区患者的远期随论资料。984例患者分成治疗组（A组）和观察组（B组），A组498例经物理方法治疗，B组486例未经治疗，均定期随诊3～5年，观察两组子宫颈不典型转变区的转归。结果A组中371例（74．50％）病变保持痊愈状态，119例（23．90％）病变较前消退，5例病变保持不变，3例进展，无一例癌变。B组中38例（7．82％）病变自然痊愈，292例（60．08％）病变自然消退，134例（27．57％）病变保持不变，19例病变进展，3例发展为癌。两组病变转归的差异有显著的统计学意义（P＜0．01）。结论阴道镜下子宫颈呈不典型转变区的患者应积极治疗和长期随访。阴道镜是随访子宫颈病变的可靠工具之一。更多还原

【Abstract】 Objective To investigate the regularity of further developont of the cerivcal atypical transformation zone under colposcopy. Methods The follow - up data of the patients who were diagnosed as cervical atypical transformation zone by colposcopy in our outpatient department were analyzed by retrospective study. 984 cases were divided into therapeutic group(group A)and observational group(group B). 498 cases in group A were treated by physical method and 486 in group B were not, all cases in the two groups were followed up periodically for 3 ~ 5 years, and the development results of the cervical atypical transformation zone of two groups were observed. Results In group A, 371 lesions (74.05% ) were cured 119 (23.90% ) regressed, 5 cases remained steadily and 3 deteriorated, no cases developed carcinoma. In group B, 38 cases(7. 82 % ) cured naturally, 292 (60 .08% ) regressed spontaneously, 134 cases (27. 57 % )remained steadily, 19 deteriorated and 3 developed carcinoma. There was a significant difference between the two groups(P ＜ 0 .01 ). Conclusion All patients with cervical atypical colposcopic findings should be treated actively and followed up for a long term. Colposcopy is one of the reliabe tools for the follow - up of cerical lesions.更多还原