中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
14期
56-56,58
,共2页
宫颈上皮内瘤变%宫颈电圈切除术%探讨
宮頸上皮內瘤變%宮頸電圈切除術%探討
궁경상피내류변%궁경전권절제술%탐토
Cervical intraepithelial neoplasia%Loop electrosurgical excision procedure%Discussion
目的：探讨阴道镜下活检加颈管搔刮与宫颈电圈切除术对诊断宫颈上皮内瘤变的临床价值。方法：2013年1月-2014年8月收治行宫颈环形电切术(LEEP)治疗患者320例，本组所有患者在行LEEP治疗前均进行阴道镜下活检加颈管搔刮检查。结果：阴道镜下活检及颈管搔刮诊断为慢性宫颈炎209例，LEEP术后病理慢性宫颈炎诊断283例，诊断符合率73.8%；阴道镜下活检及颈管搔刮诊断为宫颈息肉25例，LEEP 术后病理诊断宫颈息肉26例，诊断符合率96.2%；阴道镜下活检及颈管搔刮诊断宫颈湿疣15例，误诊7例；诊断CINⅠ133例，误诊77例；诊断CINⅠ～Ⅱ13例，误诊2例；诊断CINⅡ70例，诊断符合率94.6%；诊断CINⅡ～Ⅲ5例，诊断符合率41.7%。结论：阴道镜下活检加颈管搔刮诊断宫颈上皮内瘤变准确率较高，但也有一定的局限性。
目的：探討陰道鏡下活檢加頸管搔颳與宮頸電圈切除術對診斷宮頸上皮內瘤變的臨床價值。方法：2013年1月-2014年8月收治行宮頸環形電切術(LEEP)治療患者320例，本組所有患者在行LEEP治療前均進行陰道鏡下活檢加頸管搔颳檢查。結果：陰道鏡下活檢及頸管搔颳診斷為慢性宮頸炎209例，LEEP術後病理慢性宮頸炎診斷283例，診斷符閤率73.8%；陰道鏡下活檢及頸管搔颳診斷為宮頸息肉25例，LEEP 術後病理診斷宮頸息肉26例，診斷符閤率96.2%；陰道鏡下活檢及頸管搔颳診斷宮頸濕疣15例，誤診7例；診斷CINⅠ133例，誤診77例；診斷CINⅠ～Ⅱ13例，誤診2例；診斷CINⅡ70例，診斷符閤率94.6%；診斷CINⅡ～Ⅲ5例，診斷符閤率41.7%。結論：陰道鏡下活檢加頸管搔颳診斷宮頸上皮內瘤變準確率較高，但也有一定的跼限性。
목적：탐토음도경하활검가경관소괄여궁경전권절제술대진단궁경상피내류변적림상개치。방법：2013년1월-2014년8월수치행궁경배형전절술(LEEP)치료환자320례，본조소유환자재행LEEP치료전균진행음도경하활검가경관소괄검사。결과：음도경하활검급경관소괄진단위만성궁경염209례，LEEP술후병리만성궁경염진단283례，진단부합솔73.8%；음도경하활검급경관소괄진단위궁경식육25례，LEEP 술후병리진단궁경식육26례，진단부합솔96.2%；음도경하활검급경관소괄진단궁경습우15례，오진7례；진단CINⅠ133례，오진77례；진단CINⅠ～Ⅱ13례，오진2례；진단CINⅡ70례，진단부합솔94.6%；진단CINⅡ～Ⅲ5례，진단부합솔41.7%。결론：음도경하활검가경관소괄진단궁경상피내류변준학솔교고，단야유일정적국한성。
Objective:To explore the clinical value of biopsy under colposcopy plus the cervical canal curettage and loop electrosurgical excision procedure in the diagnosis of cervical intraepithelial neoplasia.Methods:320 patients treated with LEEP were selected from January 2013 to August 2014.Before LEEP treatment,all patients were given biopsy under colposcopy and cervical canal curettage check.Results:Diagnosis of 209 cases with biopsy under colposcopy and cervical canal curettage was chronic cervicitis,diagnosis of 283 cases with pathology after LEEP operation was chronic cervicitis,the diagnostic accordance rate was 73.8%;diagnosis of 25 cases with biopsy under colposcopy and cervical canal curettage was cervical polyp,diagnosis of 26 cases with pathology after LEEP operation was cervical polyp,the diagnostic accordance rate was 96.2%;diagnosis of 15 cases with biopsy under colposcopy and cervical canal curettage was cervical condyloma,7 cases were misdiagnosis;diagnosis of 133 cases was CIN Ⅰ,77 cases were misdiagnosis;diagnosis of CIN Ⅰ to Ⅱ was in 13 patients,2 cases were misdiagnosis;diagnosis of CIN Ⅱ was in 70 patients,the diagnostic accordance rate was 94.6% ;the diagnosis of 5 cases was CIN Ⅱ to Ⅲ,diagnostic accordance rate was 41.7% .Conclusion:The accurate rate of biopsy under colposcopy plus the cervical canal curettage in the diagnosis of cervical intraepithelial neoplasia was higher,but there were some limitations.
