论文部分内容阅读
目的:探讨阴道镜检查在宫颈浸润癌诊断中的应用价值。方法:回顾分析238例宫颈浸润癌患者的临床表现、阴道镜下复杂图像表现、宫颈细胞学检查及高危型HPV检测结果、病理结果等。结果:阴道镜拟诊与病理诊断符合率为85.3%,宫颈细胞学检查的敏感性为84.0%,高危型HPV检测敏感性为93.6%。阴道镜下宫颈浸润癌的图像表现有菜花样改变、脑回或猪油样改变、息肉样赘生物改变、结节肿块样改变、醋酸白色上皮、异形血管、点状血管、镶嵌等。结论:阴道镜检查在宫颈癌诊断中有着重要的指导作用,与宫颈细胞学、HPV检测联合应用,可以大大提高宫颈癌诊断准确率,降低漏诊。
Objective: To investigate the value of colposcopy in the diagnosis of cervical invasive carcinoma. Methods: A retrospective analysis of 238 cases of invasive cervical cancer patients with clinical manifestations, colposcopic complex image performance, cervical cytology and high-risk HPV test results, pathological results. Results: The coincidence rate of colposcopy and pathological diagnosis was 85.3%, the sensitivity of cervical cytology was 84.0%, and the sensitivity of high-risk HPV test was 93.6%. Colposcopic carcinoma of the cervix showed changes in cauliflower pattern, gyrus or laryngeal changes, changes in polypoid neoplasms, changes in nodular mass, acetic acid epithelium white, irregular blood vessels, punctate vessels, mosaic and so on. Conclusion: Colposcopy has an important guiding role in the diagnosis of cervical cancer. Combined with cervical cytology and HPV testing, colposcopy can greatly improve the diagnostic accuracy of cervical cancer and reduce the missed diagnosis.