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目的:探讨在宫颈上皮内瘤变(CIN)的临床诊断中阴道镜的应用意义。方法:对2015年1月-2016年2月我院妇科接诊的213例疑似宫颈上皮内瘤变患者的诊断资料进行回顾分析,均接受阴道镜检查及阴道镜下定位活检。结果:本组患者中,阴道镜拟诊宫颈上皮内瘤变74例,通过阴道镜下定位活检确诊的66例;和病理诊断相比,阴道镜诊断CIN的总符合率达到89.2%;宫颈癌诊断符合率达到100%;宫颈炎符合率94.3%。结论:在宫颈上皮内瘤变的临床诊断中,应用阴道镜进行检查有助于提高CIN的检出率,尤其是更好的检出CIN II和CIN III,为临床预防和治疗给予重要依据,临床实践意义重大。
Objective: To investigate the clinical significance of colposcopy in the clinical diagnosis of cervical intraepithelial neoplasia (CIN). Methods: The diagnostic data of 213 suspected cases of cervical intraepithelial neoplasia from January 2015 to February 2016 in our hospital were retrospectively analyzed. All patients underwent colposcopy and colposcopy biopsy. Results: In our group, 74 cases of cervical intraepithelial neoplasia were diagnosed by colposcopy and 66 cases were confirmed by colposcopy biopsy. Compared with pathological diagnosis, the coincidence rate of colposcopic diagnosis of CIN was 89.2%. Cervical cancer Diagnostic coincidence rate of 100%; cervicitis coincidence rate of 94.3%. Conclusions: In the clinical diagnosis of cervical intraepithelial neoplasia, the use of colposcopy examination will help to improve the detection rate of CIN, in particular, a better detection of CIN II and CIN III, for clinical prevention and treatment to give an important basis, Clinical practice is of great significance.