CAJ | 학술논문

目的:评价电子阴道镜对子宫颈病变的诊断价值.方法:2006年2月～2008年5月678例患者门诊行阴道镜检查,对阴道镜检查有图像异常者,直接在阴道镜下取材,送病理检查.电子阴道镜图像与宫颈组织学诊断对照分析,以病理结果作为确诊标准.结果:本组检出慢性宫颈炎85.99%,CIN11.50%,原位癌1.92%,浸润癌0.59%.浸润癌阴道镜图像主要是血管异常,原位癌阴道镜图像可见醋酸白色上皮,多数伴有点状血管、异型血管、镶嵌和白斑等;CIN醋酸白色上皮出现最多,点状血管、异型血管、镶嵌和白斑次之;慢性宫颈炎以不典型点状血管和醋酸白色上皮为主.结论:阴道镜检查是早期诊断和治疗下生殖道病变的重要手段.
목적:평개전자음도경대자궁경병변적진단개치.방법:2006년2월～2008년5월678례환자문진행음도경검사,대음도경검사유도상이상자,직접재음도경하취재,송병리검사.전자음도경도상여궁경조직학진단대조분석,이병리결과작위학진표준.결과:본조검출만성궁경염85.99%,CIN11.50%,원위암1.92%,침윤암0.59%.침윤암음도경도상주요시혈관이상,원위암음도경도상가견작산백색상피,다수반유점상혈관、이형혈관、양감화백반등;CIN작산백색상피출현최다,점상혈관、이형혈관、양감화백반차지;만성궁경염이불전형점상혈관화작산백색상피위주.결론:음도경검사시조기진단화치료하생식도병변적중요수단.
Objective:The mirror appraising the electron vagina is worth to cervix lesion diagnose.Methods:678 example patients outpatient service does a vagina in FEB,2008 in MAY,2006～mirror mirror examining,checking a vagina go over has an image;Abnormal person,draws materials under the mirror,gives to pathological mechanism go over directly in the vagina,electron vagina mirror the image makes a definite diagnosis with neck of uterus microanatomy diagnose collation analysis,with pathological mechanism result action standard.Results:Patient of this group inspects up out the chronic cervicitis 85.99%, CIN11.50%,original place cancer 1.92%,infiltrates cancer 0.59%.Mirror infiltrating the cancer vagina the image is that the blood vessel is abnormal mainly,original place cancer vagina mirror visible image acetic acid white epithellum,major partners the shape blood vessei,heterotype blood vessel,mosaic and floccosoids wait a little bit;CIN acetic acid white maximum appears on epithelium,the shape blood vessel,heterotype blood vessel,rnosaic and floccosoids take second place;The chronic cervicitis gives first place to no representative shape blood vessel China and acetic acid white epithelium.Conclusion:Vagina mirror means examining importance reproducing road lesion under being early phase diagnose and treat.