阴道镜直视宫颈多点活检与传统宫颈活检在宫颈疾病诊断中的应用价值比较

Objective: To explore the clinical application of cervical multi-point biopsy under colposeopy compared with routine cervical biopsy in the diagnosis of cervical disease and influencing factors.Methods:Selected 86 cases of patients with cervical disease admitted in department of gynaecology of our hospital from May 2015 to March 2016,and were divided into control group and research group according to the random number table method,with 43 cases in each group.The patients in control group were treated with routine cervical biopsy,while the patients in research group were treated by cervical multi-point biopsy under colposcopy.Compared the relevance ratio of two kinds of methods and pathologic examination results,andcompared the omission diagnostic rate of two methods.In addition,explored the related factors of missed diagnosis of cervical multi-point biopsy under colposcopy.Results:Compared with pathologic examination results,except cervical disease and cervical cancer,the detection rate and total detection rate of other types of cervical disease in research group were significantly higher than those of control group (P＜0.05);In addition to the cervical cancer,the missed diagnosis rate ofcervical disease ofresearch group significantly decreased compared with the control group (P＜0.05);Aged over 50,high-level CIN types,the decreased of number of specimens and cervical small lesions were likely to rise the missed diagnosis rate of cervical multi-point biopsy under colposcopy. Conclusion: Compared with the routine cervical biopsy,cervical multi-point biopsy under colposcopy in the diagnosis of cervical disease has high diagnostic rate and low missed diagnosis rate. We can appropriately increase number of biopsy samples to reduce the missed diagnosis so that cervical disease is treated by early detection and effective treatment.It is worth popularization and application in clinic. [ABSTRACT FROM AUTHOR]