论文部分内容阅读
目的对比TCT法与塑料刷取样涂片法在宫颈病变筛查中的作用,以期找到适用于基层医院宫颈癌早期筛查的方法。方法2006年11月至2007年10月,对在武汉市江岸区妇幼保健所进行妇科普查的妇女分别以液基细胞检查(TCT)法(844例)和塑料刷取样涂片法(1000例)结合TBS分级系统进行宫颈病变的检测。结果TCT法、塑料刷取样涂片法制片的标本满意度分别为96.68%、94.20%,两组结果差异有统计学意义(P<0.05)。两组上皮细胞内病变患病率分别为6.52%、8.30%,两组结果差异无统计学意义(P>0.05)。接受度方面,家庭月收入在1000元以下者,对塑料刷采样涂片法的接受程度明显大于TCT法。结论TCT法与塑料刷取样涂片法应用于宫颈病变的筛查敏感性、特异性均高,但塑料刷取样涂片法操作简单,费用较低,适用于基层医院。
Objective To compare the role of TCT and plastic brush sampling in the screening of cervical lesions in order to find a suitable primary screening method for cervical cancer in primary hospitals. Methods From November 2006 to October 2007, women in Gynecological Clinic of Jiang’an District MCH in Wuhan City were detected by liquid-based cytology (TCT) method (844 cases) and plastic brush sample smear method (1000 cases) TBS grading system for detection of cervical lesions. Results The satisfaction rate of TCT and plastic brush sampling was 96.68% and 94.20%, respectively. The difference between the two groups was statistically significant (P <0.05). The prevalence of intraepithelial lesion in the two groups was 6.52% and 8.30% respectively, with no significant difference between the two groups (P> 0.05). Acceptance, the family monthly income of 1,000 yuan less, the acceptance of plastic brush sampling smear was significantly greater than the TCT method. Conclusion TCT method and plastic brush sample smear method for screening cervical lesions sensitivity, specificity are high, but the plastic brush sample smear method is simple, low cost, suitable for primary hospitals.