论文部分内容阅读
目的:探讨宫颈液基细胞学检查(TCT)在宫颈病变中的诊断价值。方法:回顾性分析运用TCT进行检查的妇女324例,采用TBS诊断系统经宫颈液基薄层细胞学检查选择TCT报告ASCUS以上患者160例,进行电子阴道镜检查并活检病理,宫颈液基细胞学检查与活检病理结果进行对照分析。结果:宫颈液基细胞学检查324例中160例阳性,阳性率49.4%,AS-CUS 53例,WNL 164例,LSIL 26例,ASC-H 32例,HSIL 49例。对TCT检查阳性的160例进行阴道镜病理检查,结果:正常患者64例,CINⅠ级72例,CINⅡ/Ⅲ级22例,鳞癌2例。宫颈液基细胞学检查结果与组织病理结果符合率,LSIL与CINⅠ级符合率(17/26)65.4%,HSIL与CINⅠ级符合率(32/49)65.3%。结论:宫颈液基细胞学检查是一种简便、准确的早期宫颈病变筛查方法,对宫颈癌前病变的早期诊断有重要价值。
Objective: To investigate the diagnostic value of cervical liquid-based cytology (TCT) in cervical lesions. Methods: A retrospective analysis of 324 women with TCT was performed. TBS diagnostic system was used to select 160 patients with TCUS ASCUS or more by cervical fluid-based TLC. Electron colposcopy and biopsy pathology, cervical liquid-based cytology Examination and biopsy results of the control analysis. Results: The positive rate of cervical cytology in 324 cases was 49.4%. There were 53 cases of AS-CUS, 164 cases of WNL, 26 cases of LSIL, 32 cases of ASC-H and 49 cases of HSIL. Colposcopy examination of 160 cases of positive TCT results: normal patients in 64 cases, CIN Ⅰ grade 72 cases, CIN Ⅱ / Ⅲ grade 22 cases, squamous cell carcinoma in 2 cases. The coincidence rate of cervical liquid-based cytology and histopathology was 65.4% for LSIL and CINⅠ, and 65.3% for HSIL and CINⅠ (32/49). Conclusion: Liquid-based cervical cytology is a simple and accurate screening method for early cervical lesions, and has an important value in the early diagnosis of cervical precancerous lesions.