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阴道镜下活检加颈管搔刮与宫颈电圈切除术对诊断宫颈上皮内瘤变的临床观察比较

李秋霞

中国社区医师Issue(14):56-56,58,2.
中国社区医师Issue(14):56-56,58,2.DOI:10.3969/j.issn.1007-614x.2015.14.34

阴道镜下活检加颈管搔刮与宫颈电圈切除术对诊断宫颈上皮内瘤变的临床观察比较

Comparison of clinical observation of biopsy under colposcopy plus the cervical canal curettage and loop electrosurgi-cal excision procedure in the diagnosis of cervical intraepithelial neoplasia

李秋霞1

作者信息

  • 1. 473000河南省南阳医学高等专科学校第三附属医院
  • 折叠

摘要

Abstract

Objective:To explore the clinical value of biopsy under colposcopy plus the cervical canal curettage and loop electrosurgical excision procedure in the diagnosis of cervical intraepithelial neoplasia.Methods:320 patients treated with LEEP were selected from January 2013 to August 2014.Before LEEP treatment,all patients were given biopsy under colposcopy and cervical canal curettage check.Results:Diagnosis of 209 cases with biopsy under colposcopy and cervical canal curettage was chronic cervicitis,diagnosis of 283 cases with pathology after LEEP operation was chronic cervicitis,the diagnostic accordance rate was 73.8%;diagnosis of 25 cases with biopsy under colposcopy and cervical canal curettage was cervical polyp,diagnosis of 26 cases with pathology after LEEP operation was cervical polyp,the diagnostic accordance rate was 96.2%;diagnosis of 15 cases with biopsy under colposcopy and cervical canal curettage was cervical condyloma,7 cases were misdiagnosis;diagnosis of 133 cases was CIN Ⅰ,77 cases were misdiagnosis;diagnosis of CIN Ⅰ to Ⅱ was in 13 patients,2 cases were misdiagnosis;diagnosis of CIN Ⅱ was in 70 patients,the diagnostic accordance rate was 94.6% ;the diagnosis of 5 cases was CIN Ⅱ to Ⅲ,diagnostic accordance rate was 41.7% .Conclusion:The accurate rate of biopsy under colposcopy plus the cervical canal curettage in the diagnosis of cervical intraepithelial neoplasia was higher,but there were some limitations.

关键词

宫颈上皮内瘤变/宫颈电圈切除术/探讨

Key words

Cervical intraepithelial neoplasia/Loop electrosurgical excision procedure/Discussion

引用本文复制引用

李秋霞..阴道镜下活检加颈管搔刮与宫颈电圈切除术对诊断宫颈上皮内瘤变的临床观察比较[J].中国社区医师,2015,(14):56-56,58,2.

中国社区医师

1007-614X

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