中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2009年
4期
434-436
,共3页
李宏%闫星妹%何淑莹%李菊娥
李宏%閆星妹%何淑瑩%李菊娥
리굉%염성매%하숙형%리국아
电子阴道镜%阴道镜量化评分系统%病理诊断%符合率
電子陰道鏡%陰道鏡量化評分繫統%病理診斷%符閤率
전자음도경%음도경양화평분계통%병리진단%부합솔
electronic colposcope%RCI scoring of electronic colposcopy%pathological diagnosis%accordance rate
目的 探讨电子阴道镜对宫颈病变的诊断价值.方法 对2007年3月～2009年3月在中国西电集团医院妇产科经宫颈液基薄层细胞学检查结果为不典型鳞状上皮及以上分型和宫颈细胞学检查在巴氏Ⅱ级以上的1 285例患者行电子阴道镜检查,同时对异常阴道镜图像的1 009例患者采用电子阴道镜量化评分系统评估宫颈病变程度,并在阴道镜指引下行宫颈多点活检病理诊断,276例患者镜下未发现可疑病变部位,常规在转移带3、6、9、12点做活检,必要时辅助颈管搔刮.比较阴道镜与病理诊断结果.结果 阴道镜量化评分诊断与病理诊断完全符合率为74.63%(959/1 285),其中,诊断人乳头瘤病毒/宫颈上皮内瘤样病变Ⅰ完全符合率为68.38%(493/721);诊断宫颈上皮内瘤样病变Ⅰ～Ⅱ完全符合率为64.47%(147/228);诊断宫颈上皮内瘤样病变Ⅱ～Ⅲ完全符合率为83.72%(36/43);诊断浸润癌完全符合率为94.12%(16/17).结论 电子阴道镜诊断宫颈病变较准确可靠,可预示子宫颈病变的严重程度,有很好的临床应用价值.
目的 探討電子陰道鏡對宮頸病變的診斷價值.方法 對2007年3月～2009年3月在中國西電集糰醫院婦產科經宮頸液基薄層細胞學檢查結果為不典型鱗狀上皮及以上分型和宮頸細胞學檢查在巴氏Ⅱ級以上的1 285例患者行電子陰道鏡檢查,同時對異常陰道鏡圖像的1 009例患者採用電子陰道鏡量化評分繫統評估宮頸病變程度,併在陰道鏡指引下行宮頸多點活檢病理診斷,276例患者鏡下未髮現可疑病變部位,常規在轉移帶3、6、9、12點做活檢,必要時輔助頸管搔颳.比較陰道鏡與病理診斷結果.結果 陰道鏡量化評分診斷與病理診斷完全符閤率為74.63%(959/1 285),其中,診斷人乳頭瘤病毒/宮頸上皮內瘤樣病變Ⅰ完全符閤率為68.38%(493/721);診斷宮頸上皮內瘤樣病變Ⅰ～Ⅱ完全符閤率為64.47%(147/228);診斷宮頸上皮內瘤樣病變Ⅱ～Ⅲ完全符閤率為83.72%(36/43);診斷浸潤癌完全符閤率為94.12%(16/17).結論 電子陰道鏡診斷宮頸病變較準確可靠,可預示子宮頸病變的嚴重程度,有很好的臨床應用價值.
목적 탐토전자음도경대궁경병변적진단개치.방법 대2007년3월～2009년3월재중국서전집단의원부산과경궁경액기박층세포학검사결과위불전형린상상피급이상분형화궁경세포학검사재파씨Ⅱ급이상적1 285례환자행전자음도경검사,동시대이상음도경도상적1 009례환자채용전자음도경양화평분계통평고궁경병변정도,병재음도경지인하행궁경다점활검병리진단,276례환자경하미발현가의병변부위,상규재전이대3、6、9、12점주활검,필요시보조경관소괄.비교음도경여병리진단결과.결과 음도경양화평분진단여병리진단완전부합솔위74.63%(959/1 285),기중,진단인유두류병독/궁경상피내류양병변Ⅰ완전부합솔위68.38%(493/721);진단궁경상피내류양병변Ⅰ～Ⅱ완전부합솔위64.47%(147/228);진단궁경상피내류양병변Ⅱ～Ⅲ완전부합솔위83.72%(36/43);진단침윤암완전부합솔위94.12%(16/17).결론 전자음도경진단궁경병변교준학가고,가예시자궁경병변적엄중정도,유흔호적림상응용개치.
Objective To explore diagnostic value of electronic colposcopy for cervical lesions. Methods 1 285 women with atypical squamous cell(ASC) and above by cervical liquid-base thin layer cytologic examination (TCT) and gradeⅡand above of Pasteu classification by cervical cytological examination in Department of Gynecology and Obstetrics, Xi'an Xidian Group Hospital over a period from March, 2007 to March, 2009 received electronic colposcopy. Reid's colposcopic index (RCI) scoring was used to evaluate degree of cervical lesions of 1 009 women with abnormal image,and multipoints biopsy of cervix was taken under colposcopy for pathological diagnosis. 276 women with normal image received routine cervical biopsy at 3, 6, 9, 12 points and cervical scraping smear if necessary. The results of electronic colposcopy and the results of pathological diagnosis were compared. Results Among 1 285 subjects, the complete diagnosis accordance rate between RCI scoring of electronic colposcopy and pathological examination was 74.63%, of which, the complete diagnosis accordance rate for HPV/CIN Ⅰ was 68.38%, that for CINⅠ~Ⅱ was 64.47%, that for CINⅡ~Ⅲ was 83.72% and that for invassive cervical carcinoma was 94.12%. Conclusion The electronic colposcopy is an acurate and reliable method for diagnosing cervical lesions, it can predict severity of cervical lesions. Therefore, it has good clinical application value.
