摘要
【目的】探讨计算机辅助细胞检测系统 (CCT)在检测子宫颈涂片中的价值和作为诊断子宫颈病变的初筛手段。【方法】对 1995年 1月～ 1998年 1月妇科门诊病人的子宫颈涂片 5 889例行CCT系统检查初筛 ,细胞学专职人员进行最后诊断 ,对 2 70例阳性病例行宫颈多点活检组织病理检查 ;对比分析用CCT检测子宫颈涂片与宫颈炎活检结果。【结果】宫颈异常涂片 430 7例 ,占 73 14% ,其中子宫颈鳞癌 3例 ;子宫内膜癌 1例 ;单纯人乳头状病毒感染 30 8例 ;子宫颈上皮内病变 132例 ,其中 115例做多点病理活检 ,符合率为 10 0 % (115 / 115 ) ;不典型增生性质未明病变 192例 ,有 15 5例行多点病理活检 ,符合率98 7% (15 3/ 15 5 ) ;疱疹病毒感染 30例 ;滴虫感染 2 0 8例 ;念珠菌感染 393例 ;非特异性炎症 30 40例。【结论】CCT系统检测宫颈涂片与常规病理检测比较有较高的阳性符合率。
Objective To probe the value in using Cellular Computed Tomography (CCT) to analyse cervical smears and regard as the primary sieve method to diagnose cervical lesion. Methods The cervical smears of 5 889 cases from out patients and that of mass survey between January of 1995 and January of 1998 were detected and screened by CCT, 270 positive cases were conducted cervical multiple biopsy. Analysed the results of CCT to cervical smears and conducting cervical multiple biopsy to diagnose cervical lesion. Results Among 4 307 cases (73 14%) of abnormal smears, 3 cases with squamous carcinoma of cervix, 1 case with endometrial carcinoma, 132 cases with neoplastic lesion of cervicalepithelium, 192 cases with atypical hyperplasia and 308 cases with HPV infection, 393 cases with monlinia vaginalis, 208 cases with trichomonas vaginalis, 30 cases with HSV infection, and 3 040 cases with nonspecific vaginitis. The diagnostic rate of CCT for cervical smear accord with conducting cervical multiple biopsy in neoplastic lesion of cervicalepithelium and atypical hyperplasia were 98 77% and 100%,respectively. Conclusion Using CCT to scan cervical smears and conducting cervical biopsy of positive cases can diagnose precancerosis in time.
出处
《中山医科大学学报》
CSCD
2000年第3期236-237,I000,共3页
Academic Journal of Sun Yat-sen University of Medical Sciences
基金
广东省卫生厅科研基金资助 !(A19992 12 )
关键词
子宫颈疾病
病理学
诊断
宫颈涂片
cervical uteri/pathology
cervical intraepithelial neoplasia/diagnosis
cervicitis/diagnosis
vaginitis/diagnosis
diagnosis, computed assisted
