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| Application of Colposcopy and Endocervical Scraping in the Diagnosis of HSIL |
| YIN Donghui, SUN Yunxia, YANG Jie |
| Xuancheng People's Hospital, Anhui Xuancheng 242000, China |
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Abstract Objective: To study the value of colposcopy and endocervical curettage in the diagnosis of high-grade cervical lesions (HSIL). Methods: 68 suspected HSIL patients from January 2017 to January 2018 were selected from outpatient clinic of our hospital,all performed colposcopy and endocervical scraping, the pathological results of the hysterectomy were the gold standard. To analyze the value of colposcopy and endocervical scraping in the diagnosis of cervical intraepithelial neoplasia (CIN). Results: 16 cases of CINI lesions, 24 cases of CINII lesions, 18 cases of CINIII lesions and 10 cases of invasive cancer lesions were diagnosed by postoperative lesions. 10 cases of CINI lesions, 20 cases of CINII lesions, 22 cases of CINIII lesions and 6 cases of invasive cancer were diagnosed by colposcopy and endotracheal curettage. The coincidence rate between colposcopy and endoscopic scraping was 73.53% (50/68), and non-conformity was 26.47% (18/68), of which were over-diagnosed 5.88%(4/68), under-diagnosed 20.59% (14/68). colposcopy examination and neck lining scrape intraoperative and postoperative pathology of CIN Ⅰ, CIN Ⅱ, CIN Ⅲ and invasive cancer diagnosis is no statistical difference (P>0.05). Conclusion: Colposcopic examination and endocervical curettage are important means to prevent and treat cervical cancer, which can increase the accuracy of pathological biopsy to a certain extent and provide reliable basis for clinical treatment
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2019, Vol. 25 
