现代妇产科进展2017，Vol.26Issue(9)：666-669,4.DOI:10.13283/j.cnki.xdfckjz.2017.09.004
无阴道镜条件下宫颈病变随机点活检位置研究
A study on punch biopsy locations of cervical lesions in the absence of colposcopy
摘要
Abstract
Objective:In the absence of colposcopy,random punch biopsy were usually taken at cervical 3°,6°,9° and 12° in conditions of abnormal cytology. However,no data show that the four locations above are most susceptible to cervical lesions up to now. Hence random biopsy method need more study. The aim of this study was to investigate colposcopy-directed punch biopsy locations of cervical high-grade squamous intraepithelial lesions ( HSIL) in order to find out the most susceptible locations of cervical lesions. Methods:The locations and num-bers of all cases of HSILs diagnosed by colposcopy-directed biopsy were retrospectively analyzed in Obstetrics and Gynecology Hospital of Fudan University between January 1,2015 and De-cember 31 ,2015 . Results:A total of 3563 points from 1096 cases of cervical HSIL diagnosed by colposcopy-directed biopsy were analyzed (3. 25 points/cases on average). Rankings (rates) of punch biopsy locations were 12 ° ( 16 . 0％) , 6 ° ( 15 . 5％) , 1 ° ( 10 . 2％) , 7 ° ( 10 . 0％) , 11 ° (9. 6％),5°(9. 0％),9°(8. 6％),3°(8. 1％),10°(4. 0％),4°(3. 2％),8°(3. 0％) and 2° (2. 8％),respectively. Rankings (rates) of biopsy point number were four biopsies (42. 2％), three biopsies ( 30 . 5％) , two biopsies ( 19 . 7％) , five biopsies ( 3 . 7％) , single biopsy (3. 3％) and six biopsies (0. 5％). In single,two,three and four biopsies,the two most com-mon biopsy locations were always 12° and 6°. Conclusion:12°,6°,1°,7 ° might be the four most susceptible locations of cervical lesions. Therefore, punch biopsy in these four locations might be of importance in improving early detection of cervical lesions in rural areas in the ab-sence of colposcopy.关键词
无阴道镜/宫颈病变/点活检/位置Key words
Absence of colposcopy/Cervical lesions/Punch biopsy/Location分类
医药卫生引用本文复制引用
丛青,江宁红,隋龙..无阴道镜条件下宫颈病变随机点活检位置研究[J].现代妇产科进展,2017,26(9):666-669,4.基金项目
上海市科委创新项目(No:16411950200) （No:16411950200）
上海市卫生和计划生育委员会课题(No:201344095) （No:201344095）
