【摘要】 目的 评价阴道镜检查在宫颈病变诊断中的价值。方法 2004年12月~2005年6月我院对有宫颈病变的280例门诊病人进行阴道镜检查并以改良Reid评分，其中有218例同时接受病理检查。结果 病理确诊为宫颈不典型增生(CINⅠ～Ⅲ)8例，其中CINⅠ4例，CINⅡ 3例，CINⅢ 1例；宫颈原位癌1例、宫颈浸润癌1例、慢性宫颈炎113例、宫颈息肉80例及HPV感染者15例。与阴道镜检查结果对照，浸润癌1例在镜下诊断癌疑，1例原位癌及8例CIN的改良评分为1~5分，而慢性宫颈炎则为0~1分。结论 阴道镜检查对宫颈癌、宫颈癌前病变、HPV感染的早期诊断具有较好的筛查作用，但由于评价的标准包含着一定的主观因素，因而不能作为确诊依据。

    【关键词】 阴道镜；宫颈病变；宫颈上皮内瘤样病变

    Clinical analysis of the colposcopy in 280 patients

    CHEN Qi-zhen,TANG Long-ying,ZUO Wan-xing,et al.

    Obstetrics and Gynecology Department of Shanghai First People’s Hospital Baoshan Branch,Shanghai 200940,China

    【Abstract】 Objective To evaluate the value of colposcopy for diagnosing cervical pathologic change.Methods Colposcopy was performed in 280 patients of cervical disease from Dec,2004 to June,2005 by reformed Reid’s Colposcopic Index.Of all 280 cases,218 biopsy cases were taken.Results Histopathological examination showed that 8 patients had cervical intra-epithelial neoplasia(CIN),including 4 patients with CIN grade Ⅰ,3 patients with CIN grade Ⅱ,1 patients with grade Ⅲ and 1 patients with carcinoma in situ of cervix;1 patients with invasive carcinoma;113 patients with chronic cervicitis;80 patients had polypi;15 patients had HPV infection.The results of colposcopy include that 1 case with invasive carcinoma,8 cases with CIN and carcinoma in situ with 1~5 points by reformed Reid’s Colposcopic Index,chronic cervicitis with 0~1 point.Conclusion Colposcopy have an important screening value in finding early stage carcinoma of cervices,cervical intra-epithelial neoplasia,HPV infection.It’s not a definitely diagnostic accordance because of some subjective factors in its evaluable standards. ......