中国实用妇科与产科杂志2026,Vol.42Issue(7):689-692,4.DOI:10.19538/j.fk2026070105
阴道镜在女性下生殖道癌前病变中的全程管理
Colposcopy in the whole-process management of precancerous lesions of the female lower genital tract
摘要
Abstract
Precancerous lesions of the female lower genital tract are predominantly high-grade intraepithelial lesions of the cervix,vagina and vulva,whose progression is closely linked to the development of cervical,vaginal and vulvar cancers.As an endoscopic examination technique,colposcopy adopts optical magnification and special staining to clearly identify subtle morphological changes in the epithelium and blood vessels of the lower genital tract,guiding clinicians to perform targeted biopsy of suspicious lesions and make pathological diagnosis.It plays an irreplaceable core role in screening triage,precise diagnosis,therapeutic guidance and postoperative follow-up of such precancerous lesions.This article systematically illustrates the role of colposcopy in the whole-process management of precancerous lesions of female lower genital tract,and considering its core role in cervical disease management,the article summarizes the key application specifications for precancerous lesions at different anatomical sites and in special populations.This study aims to provide theoretical basis and practical guidance for standardized clinical diagnosis and treatment,so as to reduce the incidence and mortality of malignant tumors of the lower genital tract.关键词
阴道镜/全程管理/子宫颈上皮内瘤变/阴道上皮内瘤变/外阴上皮内瘤变Key words
colposcopy/whole-process management/cer-vical intraepithelial neoplasia/vaginal intraepitheli-al neoplasia/vulvar intraepithelial neoplasia分类
医药卫生引用本文复制引用
陈忆,吴丹..阴道镜在女性下生殖道癌前病变中的全程管理[J].中国实用妇科与产科杂志,2026,42(7):689-692,4.基金项目
上海交通大学医工交叉研究基金(YG2025ZD28) Shanghai Jiao Tong University Medical-Engineering Interdisciplinary Research Fund(YG2025ZD28) (YG2025ZD28)