Clinical Value Of Colposcopic Cervical Multi-point Biopsy Combined With Endocervical Curettage On Cervical Lesions

Objective:The purpose of this study was to investigate the clinical values of colposcopy and cervical multi-point biopsy and endocervical curettage(ECC)in the diagnosis of cervical lesions.Methods:Clinical data of 107 cases of cervical leision diagnosed by the Second Hospital of Jilin University from January 2017 to November 2018 were collected and retrospectively analyzed,all patients underwent colposcopy and cervical multi-point biopsy and ECC,then underwent conization in a short period of time.This study was to compare the consistency of diagnosis of different methods,and to analyze the factors affecting the diagnosis accuracy of cervical lesions,and to improve the accuracy of cervical lesion diagnosis and guide clinical work better.Results:In 107 patients,the coincidence rate of cervical multi-point biopsy was lower than that cervical multi-point biopsy combined with ECC,the difference was statistically significant(P<0.05),and the overall compliance rate of cervical multipoint biopsy combined with ECC was 82.2%.There was no significant difference in the diagnosis of cervical precancerous lesions(P>0.05),but in the diagnosis of cervical invasive carcinoma,the difference was statistically significant(P<0.05),and the missed diagnosis rate for cervical cancer was 10.3%.When the TCT results ? ASC-H,the type of transformation area was type 3,and the age was ?40 years old,increasing ECC on the basis of cervical biopsy can improve the diagnosis rate of cervical lesions,and the difference is statistically significant.The single factor analysis showed that the missed diagnosis rates of cervical cancer in patients with age not less than 55 years old,multi-point biopsy+ECC results were high-grade cervical intraepithelial lesions and ECC results were CINIII,without perfect colposcopy images were higher(P<0.05),but TCT test results had not relationship with the rate of misdiagnosis(P >0.05).Conclusions:1.The accuracy of cervix multi-point biopsy combined with ECC for cervical lesions is higher than that of simple cervical biopsy and improves the diagnosis of cervical lesions,but there was still some missed diagnosis of cervical cancer.The difference was statistically significant.2.The colposcopy multi-point biopsy combined with ECC still can not replace the status of diagnostic cone.3.Special attention should be paid to the age of ? 55 years old.The colposcopy multi-point biopsy combined with ECC results in high-grade lesions,especially those with ECC results of CINIII,should be alert to the occurrence of cervical cancer missed diagnosis.It is recommended to perform a diagnostic conization before a hysterectomy to avoid missed diagnosis of cervical cancer.4.Not all patients can benefit from ECC,and the cost of ECC is expensive.It is recommended to increase ECC when the TCT results ? ASC-H,the type of transformation area was type 3,and the age was ?40 years old.