摘要
Abstract
Objective To investigate the clinical value of colposcopic multiple biopsy and endocervical curettage combining cervical loop electrosurgical excision procedure (LEEP) in diagnosis of cervical intraepithelial neoplasia (CIN).Methods From January 2012 to June 2013 108 cases of women were detected with abnormal results by TCT in gynecology department of Jianggan District People ’ s Hospital of Hangzhou .Colposcopic multiple biopsy and endocervical curettage were performed to them , and 68 cases diagnosed with CIN or higher grade by colposcopy underwent LEEP for further diagnosis .Results Among 108 cases with abnormal results in TCT , there were 28 cases of ASC-US, 22 cases of ASC-H, 32 cases of LSIL, 20 cases of HSIL, and 6 cases of SCC.There were 70 cases in accordance with colposcopic biopsy (64.81%).There were 16 cases of CIN grade Ⅰ, 12 cases of CIN Ⅱ, 10 cases of CIN Ⅲ, 6 cases of squamous cell carcinoma, 2 cases of cancer in situ, 1 case of infiltrating carcinoma and 1 case of adenocarcinoma of cervical canal diagnosed by colposcopy, among which 60 cases accorded with LEEP surgical pathology diagnosis and the coincidence rate was 83.33%.After LEEP surgery, 68 cases were cured (100.00%), 3 cases relapsed (4.41%) and the incidence of complications was 2.94% (2 cases). Conclusion Colposcopic biopsy and endocervical curettage is more accurate than TCT .Colposcopic multiple biopsy and endocervical curettage combined with LEEP can improve the diagnostic accuracy of high grade of CIN with high clinical value .关键词
阴道镜多点活检/宫颈管搔刮/宫颈环形电切术/宫颈上皮内瘤变Key words
colposcopic multiple biopsy/endocervical curettage/cervical loop electrosurgical excision procedure ( LEEP )/cervical intraepithelial neoplasia ( CIN)分类
医药卫生
