河北医学2017，Vol.23Issue(9)：1467-1470,4.DOI:10.3969/j.issn.1006-6233.2017.09.017
CIN2/3患者子宫颈锥切前后病理一致性分析
Pathological Consistence Analysis of CIN2/3 Patients before and after the Cervical Excisional Procedures
摘要
Abstract
Objective:To compare the differences of cervical pathology between colposcopy-directed punch biopsies and excisional procedures, and to evaluate the diagnostic role of colposcopy-directed punch bi-opsies for the patients with high-level cervical lesions ( CIN 2 and CIN 3) . Methods:840 cases with CIN 2 and CIN 3 diagnosed by pathology of punch biopsy were followed by excisional procedures, and comparison of histological pathology was made between the two procedures. Results: The histological consistence rate be-tween colposcopy-directed punch biopsy and excisional procedures was 72.9％, the coincidence rate in Cin2 and CIN3 were 62.1％ and 81.8％ respectively,cervical inwasive cancer rate of missed diagnosis under colpos-copy-directed punch biopsies is 0.2％ and 6.6％ respectively. Conclusion:Under the guidance of colposcope cervical punch biopsy is a simple and effective method for diagnosis of CIN 2,3, which has a high consistence rate with excisional procedures. Further management depends on comprehensive evaluation.关键词
子宫颈锥切术/阴道镜指引下活检/子宫颈上皮内瘤变Key words
Excisional procedures/Colposcopy-directed punch biopsies/Cervical intraepithelial neoplasia引用本文复制引用
宋洁,张晓松,毕蕙..CIN2/3患者子宫颈锥切前后病理一致性分析[J].河北医学,2017,23(9):1467-1470,4.基金项目
河北省卫生厅2013年医学科学研究重点课题,(编号:20130240) （编号:20130240）
