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目的:评价细胞学与阴道镜联合应用在诊断宫颈上皮内瘤样病变中的价值。方法:选择宫颈液基细胞学检查异常的328例患者,进行阴道镜检查并行镜下宫颈活检,再与组织病理学对照,观察阳性符合率。结果:液基薄层细胞学检查(TCT)检出LSIL125例、HSIL26例、宫颈癌5例,阴道镜检出CINⅡ22例、CINⅢ7例、宫颈癌12例,病理检查出CINⅡ22例、CINⅢ10例、宫颈癌8例,TCT检查与宫颈活检阳性符合率为67.5%,阴道镜检查与病理诊断符合率为72.6%。结论:TCT检查可大大提高宫颈异常细胞检出率,宫颈细胞学检查配合阴道镜下宫颈活检病理学检查能及早发现宫颈癌前病变,并能提高宫颈上皮内瘤样病变诊断的准确率。
Objective: To evaluate the value of cytology and colposcopy in the diagnosis of cervical intraepithelial neoplasia. Methods: A total of 328 patients with abnormal cervical liquid-based cytology were selected for colposcopy and colposcopy biopsy, and then compared with histopathology to observe the positive coincidence rate. Results: There were 125 cases of LSIL detected by TCT, 26 cases of HSIL, 5 cases of cervical cancer, 22 cases of CIN Ⅱ detected by colposcopy, 7 cases of CINⅢ, 12 cases of cervical cancer, 22 cases of CINⅡ, 10 cases of CINⅢ, 8 cases of cancer, the positive coincidence rate of TCT examination and cervical biopsy was 67.5%. The coincidence rate of colposcopy and pathological diagnosis was 72.6%. Conclusion: TCT can significantly increase the detection rate of abnormal cervical cells. Cervical cytology and colposcopic biopsy can detect cervical precancerous lesions early and improve the diagnostic accuracy of cervical intraepithelial neoplasia.