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目的:探讨宫颈液基细胞学(TCT)涂片TBS分类法对宫颈癌筛查的临床意义。方法:2012年11月~2013年11月我院妇科门诊行宫颈TCT检查1464例患者,对TBS检查结果≥ASCUS/AGUS者进一步行电子阴道镜检查,可疑病变者行宫颈活检及宫颈管搔刮送病理检查。结果:宫颈TCT结果≥ASCUS/AGUS者89例,其中阴道镜下可疑病变者85例,取宫颈活检及宫颈管搔刮送病检,53例确诊癌前病变(CIN),占筛查总例数的3.62%,9例宫颈癌,癌的发现率为0.62%。结论:TCT涂片TBS分类法对宫颈癌筛查特别是癌前病变的筛查更具临床意义,是众多宫颈疾病筛查中最可行的检测手段,值得推广和普及。
Objective: To investigate the clinical significance of cervical smear-based cytology (TCT) smear TBS classification in cervical cancer screening. Methods: From November 2012 to November 2013, 1464 cases of cervical TCT in gynecology clinic of our hospital were further examined by electronic colposcopy on the results of TBS ≥ASCUS / AGUS. Suspicious lesions were examined by cervical biopsy and cervical scraping Send pathological examination. Results: Cervical TCT results ≥ASCUS / AGUS 89 cases, of which 85 cases of colposcopic suspicious lesions, cervical biopsy and cervical scraping sentinel examination, 53 cases of precancerous lesions (CIN), accounting for the total screening The number of 3.62%, 9 cases of cervical cancer, cancer was found in 0.62%. Conclusion: TCT smear TBS classification of cervical cancer screening especially precancerous lesions screening more clinical significance, screening of many cervical diseases is the most viable means of detection, it is worth promoting and universal.