宫腔镜在HPV持续阳性患者诊疗中的应用价值

http://www.100md.com 2015年9月15日 中国实用医药2015年第26期

     【摘要】 目的 对照研究宫颈管搔刮术与宫腔镜下直视活检在人乳头状瘤病毒(HPV)持续阳性患者诊疗中的应用价值。方法 81例HPV持续感染患者， 术前经患者同意分为宫颈管搔刮术组35例， 宫腔镜直视活检组46例， 比较两种方法的病理诊断符合率。结果 宫颈管搔刮术组病理诊断宫颈上皮内瘤变(CIN)的诊断符合率为63.64%(14/22)， 宫腔镜直视活检组病理诊断宫颈上皮内瘤变CIN的诊断符合率为94.29%(33/35)， 差异有统计学意义(P<0.05)。结论 宫腔镜直视下活检可提高宫颈上皮内瘤变的病理诊断准确率。

    【关键词】 宫腔镜；宫颈管搔刮术；人乳头状瘤病毒；宫颈上皮内瘤变

    DOI：10.14163/j.cnki.11-5547/r.2015.26.023

    Application value of hysteroscope in diagnosis and treatment of continuous positive HPV patients ZHANG Jian. Changchun City Obstetrics and Gynecology Hospital， Changchun 130042， China

    【Abstract】 Objective To comparatively research application value of endocervical curettage and hysteroscopic biopsy of continuous positive human papillomavirus (HPV) patients. Methods A total of 81 continuous positive HPV patients were divided under their agreement before surgyer into endocervical curettage group with 35 cases and hysteroscopic biopsy group with 46 cases. Coincidence rate of pathological diagnosis were compared between the two measures. Results Coincidence rate of cervical intraepithelial neoplasias (CIN) pathological diagnosis was 63.64% (14/22) in endocervical curettage group ......