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目的评价接触性阴道出血患者行阴道镜检查的临床价值。方法分析315例以接触性阴道出血为主要症状的患者经阴道镜检查并活检的病理结果,与同期相同症状,经宫颈刮片筛查后,肉眼下活检的144例病理结果对照。结果315例中检出宫颈癌29例,占9.37%;宫颈上皮内瘤样病变(CIN)50例,占15%。对照组检出宫颈癌3例,占2.08%;CIN8例,占5.56%。两组相比,P<0.05。结论对有接触性阴道出血症状的患者,阴道镜下行活检病理检查,对宫颈癌及CIN的诊断率明显高于宫颈刮片筛查后肉眼下活检病理检查。
Objective To evaluate the clinical value of colposcopy in patients with contact vaginal bleeding. Methods The pathological results of colposcopy and biopsy in 315 patients with contact vaginal bleeding were analyzed. The same symptoms of the same period were screened by cervical smear. Results Of 315 cases, 29 cases of cervical cancer were detected, accounting for 9.37%. Cervical intraepithelial neoplasia (CIN) 50 cases, accounting for 15%. The control group detected 3 cases of cervical cancer, accounting for 2.08%; 8 cases of CIN, accounting for 5.56%. P <0.05 compared to two groups. Conclusions For patients with contact vaginal bleeding, colposcopy biopsy pathological examination, the diagnosis of cervical cancer and CIN was significantly higher than the cervical scraper screening biopsy biopsy pathological examination.