【摘要】 目的:探讨阴道镜下行宫颈多点活组织检查对宫颈上皮内瘤样病变(CIN)诊断的准确性。方法:选择2001年1月-2005年12月因CIN行LEEP术者165例,比较阴道镜下行宫颈多点活组织检查与LEEP术后病理检查的结果;探讨阴道镜下多点活组织检查漏诊高级别CIN及宫颈癌的可能影响因素。结果:165例CIN患者宫颈环形电切术与活组织检查术后病理诊断完全符合者103例(62.42%),不符合者62例(37.58%);41例LEEP活组织检查结果比阴道镜下活组织检查结果重(24.85%)。LEEP前诊断为CIN有15例,LEEP术后诊断为浸润癌。结论:阴道镜下行官颈多点活组织检查对CTN的诊断有一定的局限性,对诊断为高级别CIN者,推荐以LEEP除外浸润癌。更多还原

【Abstract】 Objective:To determine the veracity for diagnosis of cervical intraepithelial neoplasia(CIN) by routine biopsy under colposcopy.Methods:Loop electrosurgical excision procedure(LEEP)under colposcopic guidance was performed in an outpatient of colposcopic clinic.Records of 165 patients treated by LEEP between Jan 2001 and Dec 2005 were reviewed prospectively.Compare the pathologic outcome with routine biopsies under eolposcopy were analyzed retrospectively.Results:Of the 165 patients,there was a correlation in pathology between LEEP and multiple biopsies in 103 cases(62.24%).41 cases(24.85%) was low diagnosed in colposcopic multiple biopsies,15 patients of CIN3 With early invasive cancer after LEEP.Conclusion:Colposcopy has some localization for diagnosing CIN.LEEP may be recommended to determine cervical invasive cancer in high grade CIN.更多还原