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目的探讨和评价液基细胞学(TCT)结合阴道镜对宫颈病变的诊断价值。方法以病理学结果为诊断标准,对在永城市人民医院进行阴道镜、活检及TCT的宫颈病变患者的检查结果进行分析。结果 TCT与活检病理组织学相比,良性符合率为98.4%,LSIL、HSIL、癌的诊断符合率分别为85.4%、97%和100%;阴道镜检查结果与组织学相比,CIN以上的宫颈病变阴道镜符合率为97.8%。结论 TCT与阴道镜检查符合率无统计学意义(P>0.05),应用TCT辅助阴道镜检查可提高宫颈癌前病变和癌变的检出率。
Objective To investigate and evaluate the diagnostic value of liquid-based cytology (TCT) combined with colposcopy in cervical lesions. Methods The pathological findings were used as diagnostic criteria to analyze the results of colposcopy, biopsy and TCT in patients with cervical lesions in Yongcheng People’s Hospital. Results The coincidence rate of TCT and biopsy was 98.4%, and the coincidence rates of LSIL, HSIL and carcinoma were 85.4%, 97% and 100% respectively. The results of colposcopy and histology showed that the positive rates of CIN Cervical lesions colposcopy coincidence rate of 97.8%. Conclusions The coincidence rate of TCT and colposcopy was not statistically significant (P> 0.05). Using TCT assisted colposcopy can improve the detection rate of cervical precancerous lesions and canceration.