Colposcopic cervical biopsies for diagnosis of cervical intraepithelial neoplasia

WANG Bin; et al

您当前的位置：

首页 >

文章列表页 >

Colposcopic cervical biopsies for diagnosis of cervical intraepithelial neoplasia

更新时间：2024-01-17

- Colposcopic cervical biopsies for diagnosis of cervical intraepithelial neoplasia
- Journal of Chongqing Medical University Issue 9, Pages: 1136-1137(2008)
- 作者机构：
  
  重庆市妇幼保健院检验科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R737.33
- Published：2008，
扫描看全文
[1]王彬,陈凤娴,杨君.阴道镜下宫颈活检在诊断宫颈上皮内瘤变中的价值[J].重庆医科大学学报,2008(09):1136-1137+1140.

WANG Bin, et al. Colposcopic cervical biopsies for diagnosis of cervical intraepithelial neoplasia. [J]. Journal of Chongqing Medical University (9):1136-1137(2008)
[1]王彬,陈凤娴,杨君.阴道镜下宫颈活检在诊断宫颈上皮内瘤变中的价值[J].重庆医科大学学报,2008(09):1136-1137+1140. DOI：

WANG Bin, et al. Colposcopic cervical biopsies for diagnosis of cervical intraepithelial neoplasia. [J]. Journal of Chongqing Medical University (9):1136-1137(2008) DOI：

摘要

目的:探讨阴道镜下宫颈活检在诊断宫颈上皮内瘤变（Cervical Intraepithelial Neoplasia

CIN）中的价值。方法:分析2007年1月至12月我院妇科门诊阴道镜下宫颈活检诊断为CIN

并在短期内行宫颈电热圈环切术（Loop electrosurgical procedure

LEEP）和（或）宫颈锥切术和（或）子宫全切术后的228例患者的临床病理资料

对比阴道镜下宫颈活检和最终病理结果

评价阴道镜下宫颈活检的准确性。结果:228例患者阴道镜下宫颈活检结果与最终病理结果比较完全符合者75.00%（171/228）

不符合者25.00%（57/228）

其中诊断过度12.72%（29/228）

诊断不足12.28%（28/228）。228例患者中最终诊断为宫颈侵润癌6例

漏诊率为3%

其中CIN1漏诊率0.92%（1/109）

CIN3漏诊率7.25%（5/69）

二者漏诊率无显著性差异（χ2=3.42

P>0.05）。结论:阴道镜下宫颈活检虽有一定比例宫颈侵润癌的漏诊

其漏诊率与CIN的级别无关

但其仍然是一项方便、经济、创伤较小而又可靠的诊断CIN的方法。

Abstract

Objective:In order to asses the value of colposcopic cervical biopsies in diagnosing cervical intraepithelial neoplasia. Methods:A retrospective analysis was carried out in 228 cases of CIN undergoing loop electrosurgical excision procedure

and/or conization of cervix and/or total hysterectomy between january and december 2007 at Maternal and Child Health hospital in Chongqing. Evaluate the accuracy of colposcopic cervical biopsies by compared with the final pathologic diagnosis. Results:The coincidence rate of colposcopic cervical biopsies and the final pathologic diagnosis was 75.00%(171/228). The discrepancy rate was 25.00%

but the rate of excessive diagnosis and underdiagnosis was 12.72%(29/228) and 12.28%(28/228)respectively. The rate of missed diagnosis was 3%(6/228)

because the final pathologic diagnosis of 6 cases were invasive carcinoma of cervix. The rate of missed diagnosis in CIN1 and CIN3 was 0.92%(1/109)

7.25(5/69)respectively. There were no significant diferences in rate of missed diagnosis between CIN1 and CIN3(χ2=3.42

P>0.05). Conclusions:With a low rate of missed diagnosis which had no relation with the degree of CIN

colposcopic cervical biopsies was a convenient

economical

less wounded and a reliable method in diagnosing cervical intraepithelial neoplasia.

关键词

阴道镜检查宫颈活检宫颈上皮内瘤变

Keywords

ColposcopyCervical biopsiescervical intraepithelial neoplasia

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Preoperative assessment indicators for high-grade cervical intraepithelial neoplasia

Expression and clinical value of human papillomavirus L1 caspid protein in cervical disease

Study of vaginal microenvironment and humn papilloma virus infection for patients with cervical intraepithelial neoplasia

EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX

Clinical application of ZoomScope colposcopy

Related Author

Jia Ying

Duan Zhaoning

Luo Ming

Wu Jin

Yang Jun

Zhou Deping

Yan Li

Chang Shufang

Related Institution

Department of Gynecology and Obstetrics,The First Affiliated Hospital of Chongqing Medical University

Department of Cervical Disease,Maternal and Child Health Center of Chongqing

Department of Obstetrics and Gynecology,the Second Affiliated Hospital,Chongqing Medical University

重庆医学院第一医院妇产科教研室

Department of Obstetrics and Gynecology,the Second College of Clinical Medicine,Chongqing Medical University

⁰