Comparison of LEEP biopsy and colposcopical biopsy in the diagnosis of CIN

VernacularTitle:宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较
Author: Jiahong FEI ; Jianqing WANG
Publication Type:Journal Article
Keywords: CIN; LEEP; colposcopy biopsy
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(6):992-993
CountryChina
Language:Chinese
Abstract: Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.