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做阴道镜不一定要活检。如果做完阴道镜，医生没有看到明显的病变，可能做完阴道镜就结束了，不一定要进行活检。活检存在一定的检查指征，如宫颈病变。患者进行阴道镜检查会提前做宫颈癌筛查，筛查存在异常现象，才需要进行阴道镜检查。比如存在HPV16、H

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做阴道镜一定要活检吗

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