阴道镜检查在宫颈上皮内瘤样病变诊断中的价值

目的：探讨阴道镜检查在宫颈上皮内瘤样病变诊断中的价值。方法：回顾性分析我院自2004年10月至2006年6月528例阴道镜检查结果。结果：528例中行阴道镜和病理检查的有321例,阴道镜下诊断宫颈上皮内瘤样病变（CIN）76例,经病理确诊CIN51例,诊断符合率为67.11%;这两组用t检验,P〉0.05无统计学意义。同时行阴道镜检查和宫颈新柏氏膜式液基层细胞学检测（简称TCT）的324例患者进行分析表明,随着细胞学诊断分级的升高,阴道镜正常图像比例逐渐减少,异常图像比例逐渐增多。结论：阴道镜作为一种宫颈癌前病变和早期癌的重要方法之一,越来越受到临床医师的重视,它具有不与患者直接接触,对患者无任何损害,不造成任何不良影响,价格适中等优点,阴道镜可作为我国目前CIN和早期宫颈癌筛查的最佳方法,但最后确诊仍依靠病理学检查。

Valuation of Colposcopy in Diagnosing Cervical Intraepithelial Neoplasia

Objective:In order to asses the value of colposcopy in diagnosing cervical intraepithelial neoplasia.Methods: A retrospective analysis was conducted against the results from 528 patients detected by colposcopy from October 2004 to June 2006 in our hospital Results:Of the 528 patients,321 cases were detected by both biopsy and colposcopy.Among the 321 cases, 76 cases were diagnosed as cervical intraepithelial neoplasia(GIN)by colposcopy,whereas only 51 cases were confirmed as CIN by biopsy,with a consistency of 67.11%.No significant difference was found(P>0.05)between the results from colposcopy and biopsy in diagnosing GIN by test t.Besides,324 patients were detected by both colposcopy and Thin-prep cytolosy test(TGT).It was showed that the higher the grade of cellular diagnosis rose according to Thin-prep Cytolosy Test,the less normal film was ob- tained according to colposcopy.Conclusion:As an important method to find cervical precancerosis and cancer in earlier stage, colposcopy was paid more and more attention by clinicians.It has many advantages such as indirecdy contacting patients,no dam- age against patients,no harmful effect on patients and suitable cost.Thus,colpyscopy could be regarded as the best method to screening CIN and earlier cervical cancer in China.However,the confirmation of CIN and earlier cervical cancer is still dependent on biopsy.