观察接触性出血阴道镜检查及病理检查.docVIP

观察接触性出血阴道镜检查及病理检查 李秀支 何跃华 (云南省丽江市人民医院妇科) 摘要：目的：探讨宫颈细胞学筛查结合阴道镜下行宫颈多点活检对宫颈接触性出血的患者病因诊断的必要性。方法：对在我院2007年4月一2009年12月在门诊就诊以主诉性生活或妇科检查出血、白带带血丝的患者行宫颈细胞学筛查，结合阴道镜下行宫颈多点活检287例。结果：诊断为CINI51例(17．8占％)，CINII48例(占16．7 )，CINIII17例(占5．9 )，原位癌6例(占2．1 )，浸润癌15例(占5．2 )，慢性宫颈炎122例(42．5％)，宫颈息肉24例(8．4 )；尖锐湿疣4例(1I 4 )。结论：对有宫颈接触性出血的患者行细胞学筛查，查出是宫颈糜烂引起的接触性出血可用外塞金菊千里光洁美洗液医用纱布上药治疗。并结合阴道镜下宫颈多点活检对妇女早期发现宫颈上皮内病变及宫颈癌有重要的价值。 关键词：宫颈接触性出血细胞学 阴道镜 活检宫颈病变 金菊千里光洁美洗液 Contacting hemorrhage after LCT，vaginoscope and pathology check result analysis L Li Qi Jing Guo Yan et a1． Abstract：Objective：Discusses the cervix of the uterus cytology screening union vaginoscope downward cervix of the uterus multi —spot biopsY to the cervix of the uterus contacting hemorrhage patient cause of disease diagnosis necessity．Method：To my court— vard in April，2007一December，2009 in the outpatient service seeing a doctor by the principal claim sex life or the gynecological examination hemorrhage，leucorrhea belt capillary s patient good cervix of the uterus cytology screening，unifies the vaginoseope downward cervix of the uterus multi-spot biopsy 287 examples．Results：Diagnoses is the CINI51 example(17．8 occupies )，the CINII48 example(accounts for 16．7 )，the CINIII17 example(accounts for 5．9 )，the preinvasive carcinoma 6 examples(ac— c0unt f0r 2．1％)，infiltrates the cancer 15 examples(to account for 5．2％)，chronic eervieitis 122 examples(42．5％)，cervix of the uterus polyP 24 examples(8．4％)；Verruca acuminata 4 examples(1．4 )．Conclusions：To has cervix of the uterus contacting hem— orrhage patient good cytology screening．and unifies under the vaginoscope the cervix of the uterus multi— spot biopsy to the woman early time to discover that on the cervix of the uterus the intracutaneous pathological change and cervical cancer have the important value． Keywords：Cervix of the uterus contacting hemorrhage Cytology Vaginoscope Biopsy Cervix of the uterus pathological change 宫颈接触性出血是指在性生活后或阴道检查时的阴道出血，量少则白带带血丝。引起女性接触性出血的疾病有：宫颈糜烂(现称为柱状上皮异位或外移)r1]宫