Tseng P, Hunter V, Reed T P, Wheeless C R
Obstet Gynecol. 1987 Apr;69(4):675-8.
Microcolpohysteroscopy allows one to observe the cervix and endocervix at magnifications of 1:1-1:150. More important, it permits examination of the squamocolumnar junction when it is obscured within the endocervix. This preliminary report compares standard colposcopy with a microcolpohysteroscopy technique in 65 patients with abnormal Papanicolaou smears. Using contact microcolpohysteroscopy, the clinician can map out geographically entire cervical intraepithelial neoplastic lesions; locate correctly the epicenter of most lesions; and in cases of inadequate colposcopy, visualize the squamocolumnar junction within the cervix. Microcolpohysteroscopy was equivalent to traditional colposcopy in detecting abnormal histology. This technique predicted lesions with viral cytopathic effects, which correlated with histology in 83% of cases. The results of this study suggest that microcolpohysteroscopy is a diagnostic tool that can precisely qualify and localize a cervical lesion.
微型阴道宫腔镜可使人们以1:1至1:150的放大倍数观察宫颈和宫颈管内膜。更重要的是，当鳞柱交界位于宫颈管内而难以观察到时，它能对其进行检查。本初步报告比较了标准阴道镜检查与微型阴道宫腔镜技术在65例巴氏涂片异常患者中的应用情况。使用接触式微型阴道宫腔镜，临床医生能够在地理上描绘出整个宫颈上皮内瘤变病变；正确定位大多数病变的中心；在阴道镜检查不充分的情况下，可视化宫颈内的鳞柱交界。微型阴道宫腔镜在检测异常组织学方面与传统阴道镜检查相当。该技术可预测具有病毒细胞病变效应的病变，在83%的病例中与组织学相关。本研究结果表明，微型阴道宫腔镜是一种能够精确鉴定和定位宫颈病变的诊断工具。
