目的探讨液基细胞学(TCT)配合阴道镜在宫颈病变中的诊治价值。方法对14857例自愿患者进行TCT检测予以Betheasda系统(TBS)细胞学分类,对检测阳性的2122例进行阴道镜下活检,进行病理学诊断,并根据检查结果进行相应的治疗。结果 TCT检测阳性2122例,与病理检查924例符合(45.7%)其中LSIL以上494例符合(75.54%)。结论 TCT检测配合阴道镜检查,能早期发现宫颈癌变和癌前病变,指导临床合理治疗,具有重要的临床实用价值。 Objective To investigate the diagnostic value of liquid-based cytology (TCT) combined with colposcopy in cervical lesions. Methods A total of 14 857 volunteers were enrolled in this study. The Betheasda system (TBS) cytology was performed on 14 857 volunteers. Colposcopic biopsy was performed on 2122 positive cases and pathological diagnosis was performed. The corresponding treatment was based on the results of the examination. Results The positive results of TCT were 2122 cases, which was consistent with the pathological examination of 924 cases (45.7%), of which 494 cases were consistent with LSIL (75.54%). Conclusion TCT combined with colposcopy, early detection of cervical cancer and precancerous lesions, to guide clinical rational treatment, has important clinical practical value.