【摘要】 目的:探讨电子阴道镜检查对宫颈病变的临床诊断价值。方法:对1007例经电子阴道镜检查妇女的临床资料进行回顾性分析,分析阴道镜与病理检查结果、阴道镜检查与患者年龄的关系、临床检查与病理检查的关系及维吾尔族妇女阴道镜检查结果的特点。结果:(1)正常图像中病理诊断以慢性宫颈炎多见,其构成比为73.57%(P<0.05);角化病(61.90%)和不典型血管(60.19%)是宫颈非典型增生特征表现;镶嵌(3.45%)、白色上皮(4.35%)、不典型血管(4.63%)见于宫颈原位癌。(2)宫颈非典型增生以51~60岁最多,其次为31~40岁妇女;40岁以上宫颈癌发病增多。(3)病理诊断为慢性宫颈炎及宫颈CINⅠ的患者临床多见于宫颈Ⅱ度糜烂;宫颈CINⅡ的患者临床见于宫颈Ⅱ度及Ⅲ度糜烂;宫颈CINⅢ的患者可表现为临床的各种病变;宫颈癌的患者临床多表现为宫颈Ⅱ度、Ⅲ度糜烂。(4)在维吾尔族患者中宫颈癌及CIN发生率增加。结论:电子阴道镜检查对宫颈病变的早期诊断具有重要的筛查作用,配合组织学检查则有肯定的诊断价值和帮助确定治疗方案的临床指导价值。更多还原

【Abstract】 Objective: To evalucate the worthiness of electronic coploscopy in the dignosis of cervical disease. Method: To review 1 007 cases of colposcopy women. To analyse the results of colposcopy and pathological examination, the relationship between the colposcopy result and the age of the patient, the results of clinical examination and pathological examination, and charisteristics colposcopy result of Uigur women. Results: (1) Detectable rate of chronic cervicitis was 73.57%(P<0.05), This was the common one than others in colposcopy views. The characters of the cervical atypical hyperlyasia were keratoma 61.90% (P<0.05) and unrepresentative vein 60.19% (P<0.05). Mosaic 3.45%(P<0.05), white epithelium 4.35% (P<0.05) and atypical vein 4.63%(P<0.05) should considered cervical cancer.(2) In age 51~60 the cervical atypical hyperlyasia are more common than others, the next in 31~40. Cervical cancer can be seen in more than 40 yrs.(3) Cervical erosion II always be dignosis by pathological examination are chronic cervicitis. Cervical cancer were manifested as cervical erosion Ⅱ/Ⅲ. (4) In Uygur patients cervical cancer and CIN were increased. Conclusion: It is very important for early dignosis and screening of cervical diseases by electronic colposcopy. According to the pathological examination, there arenot only valuble in dignosis of cervical diseases but also give a guidance to clinical work.更多还原