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目的通过对4 607例宫颈刮片结果分析,探讨宫颈癌普查中需要注意的问题。方法采用传统涂片,人工镜检,TBS分级系统的诊断标准报告结果。结果 4 607例标本,不满意涂片286例,占6.21%,异常涂片133例,检出率2.89%。其中意义不明确的非典型性鳞状细胞(ASC-US)90例,占1.95%;非典型性腺细胞(AGC)5例,占0.11%;非典型性鳞状细胞,不除外高级别鳞状上皮内病变(ASC-H)9例,占0.20%;低级别鳞状上皮内病变(LSIL)19例,占0.41%;高级别鳞状上皮内病变(HSIL)10例,占0.22%。结论对妇女进行宫颈癌筛查简便易行,适合在基层推广应用,同时要加强筛查的质量控制。
Objective To analyze the results of 4 607 cases of cervical smear and discuss the problems needing attention in the screening of cervical cancer. Methods The results of traditional smear, manual microscopic examination and diagnostic criteria of TBS grading system were reported. Results 4 607 specimens were not satisfied smear 286 cases, accounting for 6.21%, 133 cases of abnormal smear, the detection rate of 2.89%. Among them, 90 cases (1.95%) with atypical significance of atypical squamous cells (ASC-US) and 5 cases of atypical gonadal cells (AGC) accounted for 0.11%. Atypical squamous cells, There were 9 cases with ASC-H (0.20%), 19 cases with low grade squamous intraepithelial lesion (LSIL), accounting for 0.41%, and 10 cases with high grade squamous intraepithelial lesion (HSIL), accounting for 0.22%. Conclusion The screening of women for cervical cancer is simple and convenient, which is suitable for popularization and application in the grass roots. At the same time, the quality control of screening should be strengthened.