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目的:对液基薄层细胞学检查与阴道镜活检在宫颈癌筛查中的应用价值进行评价研究分析。方法:选取我院2012年5月至2014年3月行宫颈癌筛查的妇科患者440例,采用随机数字表法分为两组,观察组220例采用液基薄层细胞学检查,对宫颈部分细胞进行基薄层细胞检测,检测结果用巴氏系统细胞学进行分类诊断。对照组220例行阴道镜活检。结果:观察组液基薄层细胞检测法诊断阳性167例,阳性符合率为74.5%(164/220);对照组阴道镜活检法诊断阳性115例,阳性符合率为52.3%(115/220),两组阳性符合率比较,有显著差异,具有统计学意义(P<0.05)。结论:将液基薄层细胞学检查技术应用宫颈细胞涂片筛查,细胞涂片宫颈异常细胞检出率得到明显提高。检出的巴氏系统报告方式内容易懂、直观、具体。
Objective: To evaluate the value of liquid-based cytology and colposcopy biopsy in cervical cancer screening. Methods: Forty-four gynecological patients who underwent cervical cancer screening from May 2012 to March 2014 in our hospital were divided into two groups according to the random number table. In the observation group, 220 cases were examined by liquid-based thin- Part of the cells based on thin-layer cell detection, test results using Papanicolaou cytology classification diagnosis. Control group 220 routine colposcopy biopsy. Results: In the observation group, 167 cases were diagnosed positive by liquid-based thin-layer cytometry, and the positive coincidence rate was 74.5% (164/220). The colposcopy biopsy in the control group was positive in 115 cases and the positive coincidence rate was 52.3% (115/220) There was significant difference between the two groups (P <0.05). Conclusion: The liquid-based cytology test using cervical smear screening, cell smear cervical abnormal cell detection rate was significantly improved. The detected pasteurized system is easy to understand, intuitive and specific.