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什么情况下需要做阴道镜检查 王新宇 浙江大学医学院附属妇产科医院 阴道镜检查是在宫颈癌跟癌前病变的诊断过程当中非常重要的一个环节,首先女性通过宫颈癌的筛查,可能会发现一些问题,针对这些有问题的人群,需要进行进一步做阴道镜来明确诊断到底是不是有宫颈的癌前病变,或者有早期的宫颈浸润癌。因为这些病变通过医生的肉眼检查是没有办法来区别的。阴道镜是一种特殊的仪器,可以把局部的组织放大4到20倍,医生再通过一些辅助的试剂,可以仔细地来观察女性生殖道的外阴、阴道和宫颈,然后来发现这个当中是不是有通过普通肉眼的观察发现不了的病变,针对有怀疑的地方,我们可以取活检送病理做组织学诊断,最终这个组织学诊断是我们诊断疾病的一个精标准,做阴道镜检查有一定的时间要求,女性在月经期和经前期不适合做阴道镜检查,另外在做阴道镜检查前的三天,也要避免阴道局部的塞药,也要避免性生活,因为这些可能会影响到生殖道上皮的一些变化,给医生对于这些上皮的观察,产生混淆。 When do you need to do colposcopy Colposcopy is a very important step in the diagnosis of cervical cancer and precancerous lesions, First, women pass cervical cancer screening, Some problems may be found, For those who have problems, Further colposcopy is needed to determine whether there is precancerous lesion of the cervix, Or early invasive cervical cancer. Because there is no way to distinguish these lesions by the naked eye examination of doctors. Colposcope is a special instrument, It can enlarge the local tissue by 4 to 20 times, The doctor then uses some auxiliary reagents, The vulva, vagina and cervix of the female reproductive tract can be observed carefully, Then we can find out whether there are lesions that can not be found by ordinary naked eyes, Where there is doubt, We can take biopsies and send them to pathology for histological diagnosis, In the end, this histological diagnosis is a precise standard for our diagnosis of diseases, There are certain time requirements for colposcopy, Women are not suitable for colposcopy during menstruation and premenstrual period, Three days before colposcopy, It is also necessary to avoid blocking the vagina, Avoid sex, too, Because these may affect some changes of genital epithelium, For doctors to observe these epithelia, There is confusion.