阴道镜引导下宫颈活检诊断宫颈病变的临床价值.pdf

文档介绍：748 2011 年 8 月第 31 卷第 8 期 Tumor , August, 2011
DOI: .1000-
Copyright© 2011 by TUMOR
临床研究·Clinical Research
阴道镜引导下宫颈活检诊断宫颈病变的临床价值
王芳1,张友忠2
, ; ,
1. 福建医科大学附属协和医院妇产科福州 350001 2. 山东大学齐鲁医院妇产科济南 250012
评价阴道镜引导活检( ) 诊断宫颈病变的临床价值。
[ 摘要] 目的: colposcopically directed biopsy, CDB 方
例宫颈病变患者行宫颈,其中例患者被诊断为宫颈上皮内瘤样病变(
法:399 CDB 101 cervical intraepithelial
) 而行宫颈电圈环切术( )、宫颈冷刀锥切术(
nuolasia, CIN loop electrosurgical excision procedure, LEEP cold
)、子宫切除术或广泛子宫切除术。比较宫颈病理诊断结果与最终的病理诊断结果。
knife conization, CKC CDB
宫颈病变的宫颈诊断与最终病理诊断符合者例( ),不符合者例( )。最终病理诊
结果: CDB 56 % 45 %
断与宫颈病理诊断相比,病变减轻例( ),加重例( )。宫颈能够较为准确
CDB 26 % 19 % 结论: CDB
地发现宫颈病变,但不能替代。对于高级别宫颈病变行诊断性锥切术可以最大限度地提高宫颈病变诊断的
CKC
准确性。
[ 关键词] 宫颈肿瘤;阴道镜检查;活组织检查;诊断
[中图分类号] [文献标志码] A [文章编号] 1000-7431 (2011) 08-0748-03
The clinical value of colposcopically directed biopsy in the diagnosis of cervical lesions
WANG Fang1, ZHANG You-zhong2
1. Department of Obstetrics and Gynaecology, Fujian Medical University Union Hospital, Fuzhou 350001, China;
2. Department of Obstetrics and Gynaecology, Qilu Hospital, Shandong University, Ji’nan 250012, China
[ABSTRACT] Objective: To evaluate the clinical value of colposcopically directed biopsy (CDB) in
the diagnosis of cervical lesions. Methods: A series of 399 patients with cervical lesions received
CDB, and 101 of them