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目的:评价液基薄层细胞学技术(Thinrepcytologic test,TCT)检查的病理诊断价值。方法:对2007年1月～2009年11月1009例TCT阳性病例与宫颈病理组织学检查(活检)结果进行回顾性对比分析。结果:TCT提示不同感染程度的慢性宫颈炎患者的病理诊断检出率分别为98.86%(轻度)、92.22%(中度)和92.55%(重度),ASC-US和ASC-H与慢性宫颈炎的符合率达到94.17%,LSIL与CIN1和CIN2符合率达到88.89%,HSIL和CIN3符合率达到87.50%,宫颈癌符合率达到100.0%。结论:对宫颈病变患者进行TCT联合阴道镜下宫颈活检可早期发现宫颈癌和癌前病变,有助于宫颈疾病的进一步诊疗。
Objective: To evaluate the pathological diagnosis of Thinprepcytologic test (TCT). Methods: The clinical data of 1009 TCT positive cases and cervical histopathological examination (biopsy) from January 2007 to November 2009 were retrospectively analyzed. Results: The detection rates of pathological diagnosis of chronic cervicitis patients with different degrees of infection by TCT were 98.86% (mild), 92.22% (moderate) and 92.55% (severe), respectively. ASC-US and ASC- The coincidence rate of inflammation reached 94.17%, the coincidence rate of LSIL with CIN1 and CIN2 reached 88.89%, the coincidence rate of HSIL and CIN3 reached 87.50%, and the coincidence rate of cervical cancer reached 100.0%. Conclusion: TCT combined with colposcopic cervical biopsy in patients with cervical lesions early detection of cervical cancer and precancerous lesions, contribute to the further diagnosis and treatment of cervical disease.