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目的:探讨电子阴道镜检查在宫颈细胞学不典型鳞状细胞(ASCUS)分级中的临床应用。方法:对2009年5月～2011年2月在浙江省金华市浦江县人民医院行液基细胞学检查发现宫颈不典型鳞状细胞的120例患者行电子阴道镜检查及病理检查,并对结果进行对比分析。结果:阴道镜检查69例为阴性,占57.50%;CIN 40例,其中HSIL 18例(15.00%)、LSIL 22例(18.30%)、早期癌4例(3.33%);病理活检2例为CINⅠ(18.30%)、8例CINⅡ(6.67%)、5例CINⅢ(4.17%)、早期癌5例(4.17%)。病理学诊断和阴道镜诊断总体阳性符合率为90.91%(40/44)。结论:经宫颈细胞学诊断为ASCUS患者高度提示有早期浸润癌及宫颈鳞状上皮内瘤变的存在,而阴道镜检查和阴道镜下活检对ASCUS患者可以行准确诊断及病情判断,对临床治疗具有积极的意义。
Objective: To investigate the clinical application of electronic colposcopy in the classification of cervical cytological atypical squamous cell (ASCUS). Methods: From May 2009 to February 2011 in Jinjiang Pujiang County People’s Hospital of Zhejiang Province liquid-based cytology found that 120 cases of cervical squamous cell dyscrasia were examined by electron colposcopy and pathology, and the results For comparative analysis. Results: 69 cases were negative by colposcopy, accounting for 57.50%; 40 cases were CIN, including 18 cases of HSIL (15.00%), 22 cases of LSIL (18.30%) and 4 cases of early cancer (3.33% (18.30%), 8 cases of CINⅡ (6.67%), 5 cases of CINⅢ (4.17%) and 5 cases of early cancer (4.17%). The overall positive coincidence rate of pathological diagnosis and colposcopy diagnosis was 90.91% (40/44). Conclusion: Cervical cytology diagnosis of ASCUS patients is highly suggestive of early invasive carcinoma and cervical squamous intraepithelial neoplasia, and colposcopy and colposcopy biopsy can be accurate diagnosis of ASCUS patients and disease judgment, the clinical treatment Has a positive meaning.