无阴道镜条件下宫颈病变随机点活检位置研究

发布时间：2018-07-10 13:47

本文选题：无阴道镜 + 宫颈病变　；参考：《现代妇产科进展》2017年09期

【摘要】：目的:通过回顾分析阴道镜引导下活检诊断宫颈高级别鳞状上皮内病变(HSIL)患者的活检位置,寻找宫颈最易发生病变的位置,探讨肉眼引导下宫颈随机取材检查的循证方法。方法:回顾分析复旦大学附属妇产科医院2015年1月1日至2015年12月31日阴道镜引导下宫颈点活检诊断HSIL者活检的位置和个数。结果:阴道镜引导下点活检诊断宫颈HSIL 1096例,共活检3563个点,平均3.25点/例。按每个位置点活检比例从高到低排列,依次为12点(16.0%)、6点(15.5%)、1点(10.2%)、7点(10.0%)、11点(9.6%)、5点(9.0%)、9点(8.6%)、3点(8.1%)、10点(4.0%)、4点(3.2%)、8点(3.0%)、2点(2.8%)。点活检数选择方面,按比例从高到低排列,依次为四点活检(42.2%)、三点活检(30.5%)、两点活检(19.7%)、五点活检(3.7%)、单点活检(3.3%)、六点活检(0.5%)。单点活检、两点活检、三点活检和四点活检中,最常见的两个活检位置均为12点和6点。结论:12点、6点、1点、7点可能是最易首先发生宫颈病变的位置。在无阴道镜的条件下,选择这四个点位检查可能对提高宫颈病变的检出率和正确性具有重要意义。
[Abstract]:Objective: to analyze the location of cervical biopsy guided by colposcopy in the diagnosis of high grade squamous intraepithelial lesions (HSIL) of the cervix, and to find out the most vulnerable location of cervical lesions, and to explore the evidence-based method of random cervical sampling under the guidance of naked eyes. Methods: the location and number of cervical biopsy for HSIL diagnosis under colposcopy guidance in Fudan University Obstetrics and Gynecology Hospital from January 1, 2015 to December 31, 2015 were retrospectively analyzed. Results: 1096 cases of cervical HSIL were diagnosed by colposcopy guided point biopsy, with a total of 3 563 points (mean 3.25 points / case). According to the ratio of biopsy from high to low, the order of biopsy was 12:00 (16.0%), 6 points (15.5%), 1 point (10.2%), 7 points (10.0%), 11 points (9.6%), 9 points (8.6%), 10 points (8.0%), 10 points (3.2%), 8 points (3.0%), 2 points (2.8%). In the selection of the number of point biopsies, the order was 42.2% (42.2%), 30.5% (30.5%), 19.7% (2-point), 3.7% (five-point), 3.3% (single-point) and 0.5% (6-point) respectively. The two most common biopsy locations were 12:00 and 6 in single, two, three and four point biopsies. Conclusion the position of cervix lesions is most likely to occur at 12: 00, 6: 00 and 1: 7. In the absence of colposcopy, the selection of these four sites may be of great significance in improving the detection rate and accuracy of cervical lesions.
【作者单位】：复旦大学附属妇产科医院宫颈疾病诊疗中心;
【基金】：上海市科委创新项目(No:16411950200) 上海市卫生和计划生育委员会课题(No:201344095)
【分类号】：R737.33

【相似文献】