Xu L L
Zhonghua Zhong Liu Za Zhi. 1985 Jul;7(4):297-9.
From Nov. 1977 to Dec. 1982, 2678 cases of cervical lesions were examined by colposcopy. The colposcopic findings in 95 cases of CIN and 28 cases of Ia of the uterine cervix with histological confirmation were analyzed. The most frequently observed abnormal colposcopic findings are punctated blood vessels, mosaics and white rings around the gland openings. The presence of acetic white epithelium, leukoplakia and atrophic changes is not uncommon. Atypical blood vessel, suggestive invasive process was present in 14.3% of Ia and 4.1% of CIN, but was never observed in dysplasia. The coincidence rate between the colposcopic findings and the histologic diagnosis as assessed by the incidence of abnormal features; extent of lesion; degree of white coloration in the epithelium; the surface contour; the clarity of the margin and the presence of coarse and rising terminal vasculature, was 89%. A typical image, high incidence of abnormal features, extensive lesion, thick and white coloration in the epithelium and irregular surface contour often suggest a severe disease condition. Relation between the colposcopic features and histopathology and ways of improving the conjecture of coincidence rate between them are discussed.
1977年11月至1982年12月，对2678例宫颈病变患者进行了阴道镜检查。对95例经组织学证实的宫颈上皮内瘤变（CIN）和28例宫颈Ia期病例的阴道镜检查结果进行了分析。最常见的异常阴道镜表现为点状血管、镶嵌征及腺体开口周围的白色环。醋酸白色上皮、白斑及萎缩性改变也较为常见。提示浸润过程的非典型血管在Ia期病例中占14.3%，在CIN病例中占4.1%，但在发育异常中未见。通过异常特征的发生率、病变范围、上皮白色程度、表面轮廓、边缘清晰度以及粗大和迂曲的终末血管的存在情况评估，阴道镜检查结果与组织学诊断的符合率为89%。典型图像、异常特征的高发生率、广泛的病变、上皮增厚及白色改变以及不规则的表面轮廓常提示病情严重。本文讨论了阴道镜特征与组织病理学之间的关系以及提高两者符合率推测的方法。
