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目的:TCT新柏氏液基细胞学检测(Thinprep cytologic test)的简称。TBS细胞学分类法(Bethesdas)的简称。TCT及TBS在宫颈癌筛查中的重要作用。方法:对我院326例门诊患者进行TCT检查,采用TBS分类法,其中42例鳞状上皮病变者进行阴道镜下宫颈多点活组织检查。病理学结果作为诊断对照。结果:58例为宫颈上皮异常者,发生率为17.79%。其中16例为诊断意义不明的不典型鳞状细胞(ASC-US);28例为低度鳞状上皮内瘤变(LSIL);13例为高度鳞状上皮内瘤变(HSIL);1例为鳞状细胞癌。对42例鳞状上皮病变者进行阴道镜下宫颈多点活组织检查。TCT检测出鳞状细胞内病变(SIL、SCC)共42例,病理学检测鳞状细胞内病变36例,两者诊断的符合率为85.71%。结论:TCT技术应用于宫颈癌筛查能明显提高宫颈异常细胞检出率。
Purpose: The abbreviation of TCT Thinprep cytologic test. TBS cell taxonomy (Bethesdas) referred to. TCT and TBS in cervical cancer screening important role. Methods: 326 cases of outpatients in our hospital for TCT examination, using TBS classification, of which 42 cases of squamous epithelial lesions under colposcopy cervical multipoint biopsy. Pathological results as a diagnostic control. Results: 58 cases of cervical epithelial abnormalities, the incidence was 17.79%. Among them, 16 cases were atypical squamous cells of unknown significance (ASC-US), 28 cases were low-grade squamous intraepithelial neoplasia (LSIL), 13 cases were highly squamous intraepithelial neoplasia (HSIL), 1 case For squamous cell carcinoma. Forty-two patients with squamous cell carcinoma underwent colposcopic multi-point cervical biopsy. A total of 42 cases of squamous intraepithelial lesion (SIL, SCC) detected by TCT and 36 cases of squamous intraepithelial lesion detected by pathology showed a coincidence rate of 85.71%. Conclusion: TCT technology applied to cervical cancer screening can significantly improve the detection rate of cervical abnormal cells.