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电子阴道镜在宫颈癌前病变诊断中的临床价值

Clinical evaluation of electronic colposecopy in the diagnosis of cervical intraepithelial neoplasia

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【作者】 鲍先范吴研盛文丽彭丹丹金洁

【Author】 BAO Xian-fan,WU Yan,SHENG Wen-li,et al.Department of Obstetrics and Gynecology,The Second Worker’s Hospital of WISCO,Wuhan 430085

【机构】 武钢第二职工医院妇产科武钢第二职工医院妇产科 湖北武汉430085湖北武汉430085

【摘要】 目的:探讨阴道镜下常规活检对宫颈上皮内瘤样病变(CIN)的检出率及阴道镜图像特征和诊断价值。方法:对300例宫颈病变患者中的44例CIN患者的阴道镜检查结果进行回顾性分析。结果:300例患者中发现CIN44例,占14.66%;CIN的异常图像为宫颈湿疣、醋白上皮、二联征、三联征,共占93.19%,不满意征象3例,占6.81%;阴道镜检查CIN,阳性预测值为75.86%、敏感性为93.62%、特异性为94.47%。结论:阴道镜检查是诊断CIN的重要方法,初次阴道镜检查可疑时应进行常规活检。

【Abstract】 Objective:To investigate the incidence of cervical intraepithelial neoplasia(CIN)colposcopic findings and diagnostic value by routine biopsy under colposcopy.Methods:44 out of 300 cases between March and September 2006 in our hospital were diagnosed as CIN by routine biopsies under colposcopy were analyzed retrospectively.Results:The incidence of CIN diagnosed by routine biopsy was 14.66%(44/300).93.19% the major colposcopi Findings were of condyloma acuminate,acetowhite epitheliam,twin signs and triple signs .Only 3 cases(6.81%) was of unsatisfactory colposcopic findings.Conclusions:Colposcopy is an important assitant method for diagnosis CIN,The initial colposcopy should include routine cervical biopsics.

  • 【文献出处】 中国冶金工业医学杂志 ,Chinese Medical Journal of Metallurgical Industry , 编辑部邮箱 ,2007年04期
  • 【分类号】R737.33
  • 【下载频次】28
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