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目的通过宫颈刷片(TCT)联合阴道镜下活组织检查的手段进行宫颈癌的筛查,探讨其在宫颈癌筛查中的作用,并了解本地妇女宫颈癌的发病情况,早发现,早治疗,以降低宫颈癌的发病率及死亡率。方法对来我院妇科门诊就诊并自愿参加宫颈癌筛查的2401例妇女,常规查进行宫颈细胞学检查,异常者进行阴道镜检查及镜下组织学检查,结果进行统计分析。结果宫颈刷片2401例,阴道镜检查359例,在阴道镜下宫颈活检80例,细胞学检查上皮细胞异常者80例(3.33%),其中癌前病变及宫颈癌13人(0.54%),宫颈上皮内瘤样病变(CIN)37例,官颈癌10例。结论早期宫颈癌及癌前病变,主要由细胞学筛查发现,浸润性宫颈主要由直接病检发现。宫颈癌及癌前病变主要分布在30～55岁,年龄最小16岁,最大71岁。宫颈刷片(TCT)可见识别宫颈高度病变的灵敏度和特异度高,宫颈刷片(TCT)联合阴道镜下活组织检查诊断宫颈病变,两者结合显著提高了诊断阳性率。
Objective To screen cervical cancer by means of cervical brush (TCT) combined with colposcopy biopsy to explore its role in cervical cancer screening and understand the incidence of cervical cancer in local women. Early detection and early treatment , To reduce the incidence of cervical cancer and mortality. Methods A total of 2401 women who visited our gynecological clinic and voluntarily participated in cervical cancer screening were examined by routine cervical cytology, and colposcopy and microscopic examination were performed. The results were statistically analyzed. Results There were 2401 cases of cervical brushing, 359 cases of colposcopy, 80 cases of cervical biopsy under colposcopy and 80 cases (3.33%) of abnormal epithelial cells by cytology. Thirteen of them were precancerous lesions and cervical cancer (0.54%), Cervical intraepithelial neoplasia (CIN) in 37 cases, 10 cases of cervical cancer. Conclusion Early cervical cancer and precancerous lesions, mainly by cytological screening found that invasive cervical mainly by direct pathological examination found. Cervical cancer and precancerous lesions are mainly distributed in 30 to 55 years old, the youngest 16 years old, maximum 71 years old. Cervical brush (TCT) visible high sensitivity and specificity of identifying high degree of cervical lesions, cervical brush (TCT) combined with colposcopic biopsy diagnosis of cervical lesions, the combination of the two significantly increased the diagnostic positive rate.