摘要
目的探讨液基细胞学(TCT)联合阴道镜检查对子宫颈病变的诊断价值。方法对8476例门诊患者进行液基细胞学检查,对其中148例细胞学提示阳性者行阴道镜下活组织病理检查,细胞学诊断采用TBS分级系统。结果共检查出2049例(24.17%)阳性涂片,其中927例(10.94%)为不典型鳞状细胞;低度鳞状上皮内瘤变(LSIL)109例,占1.29%;高度鳞状上皮内瘤变(HSIL)112例,占1.32%;微生物感染891例,占10.51%;鳞状上皮癌(SCC)8例,占0.09%;腺癌2例,占0.02%。阴道镜下活组织病理诊断符合率分别为LSIL 86.95%,HSIL 91.67%,SCC 100%。结论生育期妇女定期进行液基细胞检查,可早期发现宫颈病变,配合阴道镜检查及活检可进一步明确诊断。
Objective To explore the diagnosis value of TCT combined with colposcopy inspection to check out cervical lesions. Methods 8 476 cases of outpatients received TCT inspection, in which 148 cases showing cytology positive accepted biopsy pathology inspection under colposcopy, using TBS grading system for cytology diagnosis. Results 2 049 cases （24.17%） of smear-positive were checked out, of which 927 cases （10.94%） were atypical squamous cells; Low-grade squamous intraepithelial lesion （LSIL） were 109 cases, accounted for 1.29%; High-grade squamous intraepithelial lesion （HSIL） were 112 cases, accounted for 1.32%; Microbial infection were 891 cases, accounted for 10.51%; Squamous cell carcinoma （SCC） were 8 cases, accounted for 0.09%; Adenocarcinoma were 2 cases, accounted for 0.02%. The compliance rate of pathological diagnosis of biopsy pathology was LSIL 86.95%, HSIL 91.67%, SCC 100%. Conclusion Regular TCT inspection for reproductive age women can detect cervical lesions early, combination with colposcopy and biopsy pathology inspection can further confirm the diagnosis.
出处
《临床医学工程》
2011年第12期1900-1901,共2页
Clinical Medicine & Engineering
关键词
TCT
宫颈病变
诊断
TCT
Cervical lesions
Diagnosis
