[宫颈上皮内病变：阴道镜-微型阴道镜诊断]

[Intraepithelial cervical lesions: colpo-microcolposcopic diagnosis].

作者信息

Pace S, Labi G L, Figliolini M, Stentella P, De Falco V, Mastrone M, Villani C, Lotti G

机构信息

II Clinica Ostetrica e Ginecologica, Università degli Studi di Roma La Sapienza, Roma.

出版信息

Minerva Ginecol. 1993 Jan-Feb;45(1-2):9-11.

PMID:8469368

Abstract

Integration of colposcopy and microcolposcopy allows to perform a complete study of eso- endo-cervix, for a diagnostic and topographic evaluation of cervical intraepithelial lesion. We have endoscopically studied 172 patients with histologically demonstrated CIN. In 218 cases (74.4%) the microcolposcopical evaluation corresponded to the histological diagnosis. These data confirm the methodological effectiveness of microcolposcopy and recommend it as helpful mean for cervical pathology investigation. However we believe that histological evaluation is necessary for a correct staging of the lesion. According to our experience indications for microcolposcopy are: 1) identification of endocervical lesion and squamo-columnar junction, when colposcopically not evident; 2) possibility of performing a "tailored" conization; 3) study of endocervix after conization.

摘要

阴道镜检查与微型阴道镜检查相结合，能够对子宫颈内口和外口进行全面研究，以对宫颈上皮内病变进行诊断和定位评估。我们对172例经组织学证实患有宫颈上皮内瘤变（CIN）的患者进行了内镜检查研究。在218例病例（74.4%）中，微型阴道镜检查评估结果与组织学诊断相符。这些数据证实了微型阴道镜检查的方法有效性，并推荐其作为宫颈病理学研究的有用手段。然而，我们认为组织学评估对于病变的正确分期是必要的。根据我们的经验，微型阴道镜检查的适应证为：1）当阴道镜检查无法明确时，识别宫颈管内病变和鳞柱交界；2）进行“量身定制”锥形切除术的可能性；3）锥形切除术后对宫颈管的研究。