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目的探讨分析TCT细胞学检测结合病例分析在宫颈疾病诊断中应用状况。方法从2015年1月至2015年12月期间我院所收治的12430例接受宫颈疾病检查的患者作为本研究病例,回顾分析所有患者临床资料,均接受TCT细胞学检测,针对TCT细胞学检测结果为阳性的患者再给予宫颈活检,并给予病理分析。结果所列举的12430例受检者中,高度共111例,占比为0.89%,其中包含CINⅡ61例,腺a3例,慢性4例,不除外高度共20例,占比为0.16%,其中包含含CINⅡ7例;低度34例,占比为0.27%,其中包含CINⅠ8例,CINⅡ-Ⅲ2例;236例ASC-US,占比为1.9%,其中包含CINⅡ-Ⅲ15例,AGC共13例,占比为0.1%,其中包含乳腺癌2例;腺Ca共1例。非妇科病患者740例,阳性153例。分析两种检测方式结果后得知,组织病理分析和TCT阳性检查一致性为:LSIL85.72%、HSIL90.92%、ASC-US47.82%、ASC-H71.42%。结论建议宫颈疾病可采用TCT细胞学检测和病理分析联合进行检测的方式,此方式具有较高检测符合率,且TCT细胞学检测属于无创性,可及早发现疾病病变状况,对临床医生在制定治疗方案和预防疾病进一步发展上存在一定有利条件,临床推广应用价值大。
Objective To investigate the application of TCT cytology combined with case analysis in the diagnosis of cervical diseases. Methods From January 2015 to December 2015 in our hospital treated 12,430 cases of cervical disease check patients as the study case, a retrospective analysis of all patients clinical data, are subject to TCT cytology testing, TCT cytology test results Positive patients were given cervical biopsy and given pathological analysis. Results Among the 12,430 subjects enumerated, a total of 111 cases were high, accounting for 0.89%. Among them, 61 cases were CINⅡ, 3 cases were adenocarcinoma, 4 cases were chronic and 20 cases were non-excluded, accounting for 0.16% Including CIN Ⅱ 7 cases; low 34 cases, accounting for 0.27%, including CINⅠ8 cases, CINⅡ-Ⅲ2 cases; 236 cases of ASC-US, accounting for 1.9%, including CINⅡ-Ⅲ15 cases, AGC total of 13 cases The ratio was 0.1%, including breast cancer in 2 cases; adenocarcinoma in 1 case. 740 cases of non-gynecological diseases, positive 153 cases. Analysis of the results of the two test methods revealed that the consistency of histopathological analysis and TCT positive examination was: LSIL85.72%, HSIL90.92%, ASC-US47.82%, ASC-H71.42%. Conclusions It is suggested that cervical disease can be detected by combination of cytology and pathology of TCT. This method has high detection coincidence rate, and TCT cytology test is noninvasive, and early detection of pathological changes can be helpful to clinicians in formulating treatment Programs and prevention of further development of the disease there are some favorable conditions, clinical application of great value.