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目的提高宫颈病变的筛查及早期诊断。方法对来丹江口汉江集团汉江医院妇科就诊及体检的1 842例患者行液基细胞学(TCT)检测,异常者及有临床症状的可疑病例18例共计226例行阴道镜及镜下活组织检查。结果 TCT异常者208例,阳性率11.29%,其中ASC-US 97例(5.27%),ASC-H 46例(2.49%),LSIL 38例(2.06%),HSIL 16例(0.86%),SCC 4例(0.22%),AGC 6例(0.33%),AC 1例(0.05%)。异常阴道镜图像221例,占97.79%,病理结果为慢性宫颈炎148例,宫颈上皮内瘤变73例(其中CIN1 53例,CIN2 11例,CIN3 9例),宫颈鳞癌4例,宫颈腺癌1例。结论 TCT及阴道镜均为宫颈病变有效的筛查方法,若二者联合,则能有效提高早期诊断率,减少漏诊的发生。
Objective To improve the screening and early diagnosis of cervical lesions. Methods One hundred and eighty-two cases of gynecological visits and physical examinations in Hanjiang Hospital of Hanjiang Hospital, Hanjiang River, Danjiangkou were enrolled in this study. Liquid-based cytology (TCT) tests, abnormal cases and suspicious cases with clinical symptoms were included in this study. A total of 226 colposcopic and microscopic biopsies . Results Of the 208 patients with abnormal TCT, the positive rate was 11.29%, including ASC-US 97 cases (5.27%), ASC-H 46 cases (2.49%), LSIL 38 cases (2.06%), HSIL 16 cases 4 cases (0.22%), AGC 6 cases (0.33%) and AC 1 case (0.05%). There were 221 cases (97.79%) with abnormal colposcopy, 148 cases with chronic cervicitis, 73 cases with cervical intraepithelial neoplasia (CIN1 53, CIN2, CIN3 9), cervical squamous cell carcinoma 1 case of cancer. Conclusions Both TCT and colposcopy are effective screening methods for cervical lesions. If they are both combined, they can effectively improve the early diagnosis rate and reduce the missed diagnosis.