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目的探讨阴道镜下宫颈活检诊断宫颈病变的准确性。方法选择2005年1月至2010年12月在洛阳市瀍河区妇幼保健中心门诊行阴道镜下宫颈活检患者共600例,其中216例根据病理检查(病检)结果进一步行宫颈锥切术,对其病理组织学检查结果进行回顾性分析。结果阴道镜图像与定点活检的病理报告结果绝对符合率为75.2%,相对符合率为92%;阴道镜下宫颈定点活检加颈管诊刮术与宫颈锥切术病检结果绝对符合率为86.6%,相对符合率为97.2%,两者比较差异无统计学意义(P>0.05)。结论阴道镜对宫颈病变的诊断准确率较高,对早期发现宫颈癌变有一定价值,但是仍需以病检为准;阴道镜下宫颈定位活检结合宫颈管诊刮术是诊断宫颈病变的有效方法。
Objective To investigate the accuracy of colposcopic biopsy in the diagnosis of cervical lesions. Methods From January 2005 to December 2010, 600 patients underwent colposcopic cervical biopsy in Outpatient Clinic of MCH in Luhe City, of which 216 patients underwent further cervical conization according to the results of pathological examination (pathological examination) The histopathological examination results were retrospectively analyzed. Results The absolute coincidence rate of colposcopy images and pathological biopsy results was 75.2% and the relative coincidence rate was 92%. The absolute coincidence rate of colposcopy biopsy with cervical canal curettage and cervical conization was 86.6% %, The relative compliance rate was 97.2%, the difference between the two was not statistically significant (P> 0.05). Conclusions Colposcopy has a higher diagnostic accuracy for cervical lesions and has some value in early detection of cervical cancer. However, it still needs to be subject to disease examination. Colposcopy biopsy combined with cervical canal curettage is an effective method to diagnose cervical lesions .