宫颈上皮内瘤变术前阴道镜下活检与宫颈环形电切术后病理检查结果的比较分析

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1、宫颈上皮内瘤变术前阴道镜下活检与宫颈环形电切术后病理检查结果的比较分析陈贤永湘南学院附属医院湖南郴州423000【摘要】R的：比较宫颈上皮内瘤变术前阴道镜不活检与宫颈环形电切术后病理检查结果。方法：选取2015年4月至2016年3月入住本院的经人乳头状瘤病毒检测或常规液基层细胞学检查显示异常的199例患者作为研宂对象，均行阴道镜丁活检及宫颈环形电切术，将阴道镜不活检结果及宫颈环形电切术后病理检查结果进行对比分析。结果：阴道镜K活检病理诊断检出5例慢性宫颈炎、50例CINI、70例CINII、63例CINIII、11例原位癌；宫颈环形电切术后病理检查结果显示10例慢性宫颈炎、64例

2、CINI、51例CINII、62例CINIII、9例原位癌、3例宫颈浸润癌；阴道镜K活检与宫颈环形电切术后病理检查结果完全符合率为55.28%，诊断不足率为17.59%,诊断过度率为27.13%,其屮宫颈浸润癌漏诊率为1.51%。结论：阴道镜不活检与宫颈环形电切术后病理检查对于诊断宫颈上皮内瘤变均具有重要意义，两者联用可提高诊断的准确性，避免漏诊情况的发生。【关键词】宫颈上皮内瘤变；阴道镜卜活检；宫颈环形电切术；病理检查[Abstract]objective：tocomparethecervicalintraepithelialneoplasiapreoperativebiops

3、yundercolposcopewithcervicalannularcuttingpostoperativepathologicalfindings.Methods：tochoosebetweenApril2015andMarch2015atourcollegebythehumanpapillomavirusdetectionorabnormalfluidcytologyexaminationshowedatthegrass-rootslevelof199patientsastheresearchobject，biopsyundercolposcopyandcervicallo

4、opincutting,willandcervicalbiopsyundercolposcoperesultsannularcuttingpostoperativepathologicexaminationresultswereanalyzed.Results：thepathologicaldiagnosisofbiopsyundercolposcopedetectedin5casesofchroniccervicitis,50casesofCINI，70casesofCINII，63casesofCINIII,11casesofcarcinomainsitu；Cervicall

5、oopcuttingpostoperativepathologicexaminationresultsshowthatthe10casesofchroniccervicitisand64casesofCINI，51casesofCINII，62casesofCINIII，9caseswerecarcinomainsitu，3casesofcervicalinvasivecancer；Biopsyundercolposcopyandcervicalloopcuttingcompletelycoincidenceratewas55.28%，postoperativepathologi

6、calfindingsdiagnosisratewas17.59%,excessivediagnosisratewas27.13%，includingcervicalinvasivecarcinomaofthemisseddiagnosisratewas1.51%.Conclusion：withcervicalbiopsyundercolposcopeannularcuttingpostoperativepathologicexaminationforthediagnosisofcervicalintraepithelialneoplasiaisofgreatsignifican

7、ce，thecombinationcanraisetheaccuracyofthediagnosis，avoidmisseddiagnosis.［Keywords］cervicalintraepithelialneoplasia；Biopsyundercolposcope.Thecervicalloopelectricitycutmethod；Pathologicalexamination宫颈癌是临床女性中发病率及病死率极高的生殖道恶性肿瘤，0前发病率呈现逐年上升趋势，iL更加趋