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阴道镜检查在外阴尖锐湿疣合并宫颈尖锐湿疣中的诊断价值 被引量:2

Significance of colposcopy in the diagnosis of vulvar condylomata acuminata complicated with cervical condylomata acuminata
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摘要 目的:在外阴尖锐湿疣(condylom ata acum inata,CA)的患者中开展阴道镜检查的作用及意义。方法:外阴CA患者均行宫颈细胞学检查及了解自觉症状,并行阴道镜检查。结果:97例行阴道镜检查的外阴CA患者中,39例阴道镜下活检病理诊断宫颈湿疣,其中25例巴氏Ⅰ级中发现,检出率30.9%;3例巴氏Ⅱ级中发现,检出率60.0%;11例从巴氏Ⅲ级中发现,检出率100%。有分泌物增多及接触性出血、无分泌物增多而仅有接触性出血和无任何临床症状的宫颈CA检出率分别为47.6%、61.0%和31.0%。结论:外阴CA的患者合并宫颈CA比例较高,故外阴CA患者有必要行阴道镜检查。 Objective To elucidate the significance of colposcopy in the patients with vulvar condyloma acuminatum(CA). Methods The colposcopic examination and cervical biopsy were performed, and the clinical features was investigated in the patients with vulvar CA. Results The cervical CA by colposcopic biopsy was detected in 39 out of 97 patients, in which 25 cases were Papanicolaou Ⅰ with the positive rate of 30.9% and 3 cases were Papanicolaou Ⅱ with the positive rate of 60%. The positive rates in the patients with vaginal discharge and postcoital bleeding, in those only with postcoital bleeding and in those without clinical featues were 47.6%,61.0%and 31.0%, respectively. Conclusions Condyloma acuminatum of vulva often complicates with cervical condyloma acuminatum. It is necessary for the patients with condyloma acuminatum of vulva to receive the colposcopic examination.
出处 《诊断学理论与实践》 2005年第2期153-155,共3页 Journal of Diagnostics Concepts & Practice
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