CAJ | 학술논문

目的探讨阴道镜在宫颈上皮内瘤样病变(CIN)诊断中的作用.方法回顾分析146例患者在阴道镜下行CIN的诊断;并做组织病理学检查.结果 146例CIN患者,在阴道镜下行宫颈定位活检,经病理确诊CIN 123例,符合率为84.2％,不符合者23例,占15.8％;最终确诊CIN I共52例,占符合率的72.7％;确诊CINⅡ共40例,占符合率的90.1％;确诊CINⅢ共23例,占符合率的96.6％;最终诊断为宫颈浸润癌2例,漏诊率为1.0％.阴道镜下活检符合率随CIN型级增加而上升,各型级间差异有统计学意义(P＜0.05).结论 CIN患者采用阴道镜下诊断宫颈上皮内瘤病变,可提高宫颈早期癌及瘤前病变诊断的准确率,是一种微创、经济、方便、可靠的诊断CIN的方法,值得临床使用、推广.
목적 탐토음도경재궁경상피내류양병변(CIN)진단중적작용.방법 회고분석146례환자재음도경하행CIN적진단;병주조직병이학검사.결과 146례CIN환자,재음도경하행궁경정위활검,경병리학진CIN 123례,부합솔위84.2％,불부합자23례,점15.8％;최종학진CIN I공52례,점부합솔적72.7％;학진CINⅡ공40례,점부합솔적90.1％;학진CINⅢ공23례,점부합솔적96.6％;최종진단위궁경침윤암2례,루진솔위1.0％.음도경하활검부합솔수CIN형급증가이상승,각형급간차이유통계학의의(P＜0.05).결론 CIN환자채용음도경하진단궁경상피내류병변,가제고궁경조기암급류전병변진단적준학솔,시일충미창、경제、방편、가고적진단CIN적방법,치득림상사용、추엄.
Objective To study the effect of colposcopy in diagnosis of cervical intraepithelial neoplasia.Methods Retrospective analysis of 146 cases of colposcopy down in patients with cervical intraepithelial neoplasia (CIN) diagnosis and histopathological examinations.Results 146 was CIN patients,in vaginal mirror down cervical positioning biopsy,by pathological confirmed CIN 123 cases,meet rate was 84.2％,23 cases does not meet,accounted for 15.8％,eventually confirmed CIN Ⅰ total 52 cases,accounted for meet rate of 72.7％,confirmed C1N Ⅱ total 40 cases,accounted for meet rate of 90.1％,confirmed CIN Ⅱ total 23 cases,accounted for meet rate of 96.0％,eventually diagnosis for cervical invasion run cancer 2 cases,leak diagnosis rate for 1.0％.Biopsy under colposcope in line with rates rise with CIN grade increases,the differences between various levels was statistically significant (P ＜0.05).Conclusion Use of colposcopy in diagnosis of patients with CIN lesions,can improve the diagnosis of early cervical cancer and precancerous lesions of accuracy,is a minimally invasive,economical,convenient,reliable method of diagnosis of CIN,and worthy of clinical use,promotion.