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目的探讨电子阴道镜在基层宫颈疾病诊断中的实际应用价值,及早发现子宫颈癌前病变并早期干预,降低农村妇女子宫颈癌的发病率。方法2005年11月-2007年6月筛选门诊不定期宫颈疾病患者204例进行阴道镜检查,在阴道镜指导下活检并与组织病理学结果相比较。结果204例中病理学诊断为宫颈炎127例,CINⅠ-CINⅢ74例,宫颈癌2例,宫颈湿疣1例,诊断准确率99.5%,CINⅠ72.1%,CINⅡ80%,CINⅢ100%。结论阴道镜检查在基层医院诊断子宫颈癌前病变,宫颈癌时经济实用,值得推广,结合病理学检查,可以明显提高诊断准确率。
Objective To explore the practical value of electronic colposcopy in the diagnosis of primary cervical disease, to detect early cervical precancerous lesions and early intervention to reduce the incidence of cervical cancer in rural women. METHODS: From November 2005 to June 2007, 204 patients with unspecified cervical diseases were screened for colposcopy, biopsied under colposcopy and compared with histopathological findings. Results The pathological diagnosis of 204 cases of cervicitis in 127 cases, CIN Ⅰ-CIN Ⅲ 74 cases, cervical cancer in 2 cases, 1 case of cervical condyloma, diagnostic accuracy 99.5%, CIN Ⅰ 72.1%, CIN Ⅱ 80%, CIN Ⅲ 100%. Conclusion Colposcopy in the diagnosis of cervical precancerous lesions in primary hospitals, cervical cancer is economical and practical, it is worth promoting, combined with pathological examination, can significantly improve the diagnostic accuracy.