Abstract：Objective: To compare the differences of cervical pathology between colposcopy-directed punch biopsies and excisional procedures, and to evaluate the diagnostic role of colposcopy-directed punch biopsies for the patients with high-level cervical lesions (CIN 2 and CIN 3). Methods: 840 cases with CIN 2 and CIN 3 diagnosed by pathology of punch biopsy were followed by excisional procedures, and comparison of histological pathology was made between the two procedures. Results: The histological consistence rate between colposcopy-directed punch biopsy and excisional procedures was 72.9%, the coincidence rate in Cin2 and CIN3 were 62.1% and 81.8% respectively,cervical inwasive cancer rate of missed diagnosis under colposcopy-directed punch biopsies is 0.2% and 6.6% respectively. Conclusion: Under the guidance of colposcope cervical punch biopsy is a simple and effective method for diagnosis of CIN 2,3, which has a high consistence rate with excisional procedures. Further management depends on comprehensive evaluation.
宋洁, 张晓松, 毕蕙. CIN2/3患者子宫颈锥切前后病理一致性分析[J]. 河北医学, 2017, 23(9): 1467-1469.
SONG Jie, et al. Pathological Consistence Analysis of CIN2/3 Patients before and after the Cervical Excisional Procedures. 河北医学, 2017, 23(9): 1467-1469.
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2017, Vol. 23 
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