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目的:通过对宫颈细胞学ASC-US的临床处理分析,及时发现宫颈癌前病变以及早期宫颈癌,从而有效降低宫颈癌的发病率。方法:将淮安市妇幼保健院2006年1月～2007年3月期间宫颈细胞学结果为ASC-US的患者随机分为两组,一组直接行阴道镜检查,对阴道镜检查异常的患者取活组织病理检查,另一组选择3～6个月重复细胞学检查,对两者的结果进行比较分析。结果:在131例细胞学检查为ASC-US进行阴道镜检查的患者中,经活检病理学诊断发现宫颈癌1例,宫颈上皮内瘤变5例,年龄在29～59岁之间。53例3～6个月后重复细胞学检查,仍有ASC-US15例,CIN为0。结论:对ASC-US的处理建议直接行阴道镜检查,对阴道镜检查结果异常者在可疑部位给予活组织病理检查。
Objective: Through the cervical cytology ASC-US clinical analysis, timely detection of cervical precancerous lesions and early cervical cancer, thereby effectively reducing the incidence of cervical cancer. Methods: The patients with cervical cytology ASC-US from January 2006 to March 2007 in Huaian MCH hospital were randomly divided into two groups, one group was directly colposcopy, colposcopy abnormal patients Biopsy, another group of 3 to 6 months repeat cytology, the results of the two comparative analysis. Results: Among 131 cases of ASC-US colposcopy, one case of cervical cancer and five cases of cervical intraepithelial neoplasia were detected by biopsy pathology. The age ranged from 29 to 59 years old. 53 cases repeated 3 to 6 months after cytological examination, there are still 15 cases of ASC-US, CIN 0. CONCLUSIONS: The treatment of ASC-US is recommended for direct colposcopy, and biopsies for suspected colposcopic findings in colposcopy are biopsied.