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目的探讨TCT联合阴道镜检测宫颈癌前病变中的临床价值。方法选取我院自2011年8月至2013年8月接受TCT联合阴道镜检测的896例疑似宫颈癌前病变患者作为研究对象,观察其影像学资料,将TCT及阴道镜确诊患者检测结果与术后病理检查结果进行比较观察。结果 896例检测标本中,TGT检测阳性56例,阳性率为6.3%;其中不典型鳞状细胞38例(4.2%),低度鳞状上皮瘤变11例(1.2%),鳞状上皮癌5例(0.6%),高度鳞状上皮内瘤变2例(0.1%);所有患者均在阴道镜下行宫颈活检,58例患者为阳性,阳性率为6.4%,TCT诊断与病理组织活检结果差异无统计学意义(P>0.05);TCT联合阴道镜检出阳性率与术后病理组织结果差异无统计学意义(P>0.05)。结论 TCT联合阴道镜在宫颈癌前病变中检测使用能够对患者病理结果进行准确反应,可作为有效的诊断手段使用。
Objective To investigate the clinical value of TCT combined with colposcopy in detecting cervical precancerous lesions. Methods Eighty-six patients with suspected cervical precancerous lesions who underwent colposcopy combined with TCT from August 2011 to August 2013 in our hospital were enrolled in this study. The imaging data were analyzed. The results of TCT and colposcopy-confirmed patients were compared with those without colposcopy Post-pathological examination results were compared. Results Among the 896 samples, the positive rate of TGT was 56% (38 cases, 4.2%), low grade squamous cell carcinoma (11%), squamous cell carcinoma 5 cases (0.6%) and 2 cases (0.1%) of high grade squamous intraepithelial neoplasia. Cervical biopsy was performed under colposcopy in all patients, 58 cases were positive, the positive rate was 6.4%. The results of TCT diagnosis and pathological biopsy There was no significant difference between the two groups (P> 0.05). There was no significant difference between the positive rate of TCT combined with colposcopy and the postoperative pathological results (P> 0.05). Conclusion TCT combined colposcopy in the detection of cervical precancerous lesions can accurately reflect the pathological results of patients can be used as an effective diagnostic tool.