摘要
目的 探讨计算机辅助细胞检测(CCT)方法在子宫颈细胞学检查中的应用价值。方法 对我院2001年12月1日至2002年9月30日妇科门诊子宫颈涂片7310例进行CCT筛检、病理医师诊断,并对其中有异常细胞的279例患者例取活组织行病理组织学对照检查。结果 CCT检出异常细胞者404例(5.5％),其中轻度鳞状细胞增生313例(4.3％),类湿疣及湿疣伴轻、中、重非典型增生35例(0.5％),低度鳞状上皮病变31例(0.4％),高度鳞状上皮病变13例(0.2％),不典型腺细胞9例(0.1％),怀疑腺癌3例。404例中279例有病理组织学对照,细胞学与组织学检查基本符合率达92％。结论 CCT是一种简便可靠的细胞学检测方法,应用于宫颈细胞学检查,可及早发现癌前病变和早期癌。
Objective To investigate application of computer- assisted cytologic test (CCT) in analysis of cervical smears. Methods A total of 7310 cases from gynecological outpatients in Beijing Friendship Hospital between 1 Desember, 2001 to September, 2002 were screened by CCT and diagnosed by pathologists. Among them , abnormal cytologic results of 279 cases were found and compared with the corresponding results of biopsy diagnosis. Results Among 404 cases (5.5%) with abnormal smears, 313 cases (4.3% ) were of mild squamous hyperplasia, 35 cases (0.5% ) condylomoid lesion and condylomous lesion with mild to severe atypical hyperplasia, 31 cases (0.2% ) low - grade squamous intraepithelial lesion (LSIL) , 13 cases (0.2% .) high - grade squamous intraep-ithelial lesion (HSIL), 9cases(0.1%) abnormal glandular cells, 3 cases suspicious adenocarcinoma. Two hundred and seventy nine of 404 patients with abnormal result by CCT underwent cervical biopsy and the accordance rate of diagnosis between cytology and histology was 92% . Conclusion CCT is a convenient and reliable cytological examination method, and the cytologic screen method can detect precancerous lesion and earlier- staged carcinoma in time.
出处
《临床和实验医学杂志》
2003年第2期71-73,共3页
Journal of Clinical and Experimental Medicine
