碘试验下宫颈活检联合阴道镜检查在早期 宫颈癌诊断中的作用

Early cervical cancer diagnosis of cervical biopsy under Lugol's Iodine combined colposcopy

摘要:

目的 分析碘试验下宫颈活检联合阴道镜检查在早期宫颈癌诊断中的作用。方法 对宫颈液基细胞学检查（TCT）结果异常者，进行碘试验（VILI），进而行经阴道镜检查，分别取VILI和阴道镜下可疑病变区组织进行多点活检，对检查结果进行统计学分析。结果 TCT检查结果异常者，VILI下宫颈活检对早期宫颈癌检出率为91.2%，VILI下宫颈活检联合阴道镜检查的检出率为100%，对宫颈疾病诊断的综合检出率分别为83.2%及97.1%，两者差异有显著性。结论 VILI下宫颈活检联合阴道镜检查对早期宫颈癌以及宫颈疾病的正确诊断有实用价值，可提高对早期宫颈癌及宫颈相关疾病的检出率，降低漏诊率和减少误诊发生，VILI下宫颈活检联合阴道镜检查在临床诊断中具有重要的作用。

Abstract:

【Objective】 To analyze the effect of cervical biopsy combined with colposcopy in the early diagnosis of cervical cancer. 【Methods】 The cervical Thin-Cytologic Test (TCT) findings were abnormal, and then VILI was conducted, then by colposcopy, respectively from the VILI and colposcopy suspicious lesions were multiple biopsy, the results were analyzed statistically. 【Results】 Abnormal TCT findings, VILI cervical biopsy of early cervical cancer detection rate was 91.2%, VILI positive cervical biopsy under colposcopy combined rate was 100%, the detection rate of cervical diseases diagnosis was 83.2%, 97.1%, there was significant difference between the two. 【Conclusion】 VILI diagnosis of cervical biopsy under colposcopy combined of early cervical cancer and cervical disease can increase the detection rate of early stage cervical cancer and cervical disease and decrease the rate of missed diagnosis and reduce misdiagnosis, VILI combined with colposcopy cervical biopsy plays an important role in clinical diagnosis.