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目的探讨TCT、阴道镜及活检筛查宫颈癌的价值。方法对17 409名妇女进行液基细胞学检测,阳性者行阴道镜检查及宫颈活检并分析对比,比较不同年龄段的活检结果及浸润癌患者的年龄。结果 17 409例患者中,ASCUS 67.2%,AGC 4.0%,LSIL 11.4%,ASC-H/HSIL 16.1%,SCC 1.6%,AC 0.1%;与活检符合率分别为46.1%、60.2%、93.1%、100%、100%;21～30岁、31～40岁中CIN的检出率分别为32.3%和38.6%(P<0.05)。宫颈鳞癌、腺癌平均年龄分别为43.6岁、37.5岁。结论 TCT、阴道镜及活检对宫颈癌的筛查有很高诊断价值。
Objective To investigate the value of TCT, colposcopy and biopsy in screening cervical cancer. Methods A total of 17,409 women underwent liquid-based cytology. Positive patients underwent colposcopy and cervical biopsy. The biopsy results of different age groups and the age of patients with invasive cancer were compared. RESULTS: The ASCUS 67.2%, AGC 4.0%, LSIL 11.4%, ASC-H / HSIL 16.1%, SCC 1.6% and AC 0.1%, respectively. The coincidence rates with those of biopsy were 46.1%, 60.2% and 93.1% 100%, 100%. The detection rates of CIN in 21 ~ 30 years old and 31 ~ 40 years old were 32.3% and 38.6%, respectively (P <0.05). Cervical squamous cell carcinoma, adenocarcinoma average age was 43.6 years old, 37.5 years old. Conclusion The screening of cervical cancer by TCT, colposcopy and biopsy has high diagnostic value.