TCT检测在宫颈病变中的诊断价值  

The diagnostic value of thinprep cytologic test testing in cervical lesions

作　　者：段志珍[1] 程艳香[1] 

机构地区：[1]武汉大学人民医院妇产科,430060

出　　处：《环球中医药》2013年第S1期154-155,共2页Global Traditional Chinese Medicine

摘　　要：目的评价TCT检测方法对宫颈疾病的诊断价值。方法 2007年5月~2008年1月武汉大学人民医院妇产科门诊共有445例接受TCT检查,细胞学异常者进一步接受阴道镜及镜下组织活检检查,以活检病理结果为诊断标准,比较TCT检查与病理结果的统计学参数。结果 TCT检查的阳性病例96例,与病理组织学比较,诊断LSIL以上宫颈病变灵敏度91.23%,特异度79.49%,阳性预测值86.67%,阴性预测值86.11%,符合率86.45%,Kappa值0.72。结论 TCT是宫颈癌筛查的重要手段,其临床应用价值高。Objective To investigate the diagnostic value of TCT in screening cerbvical diseases.Methods From May 2007to Jan. 2008,445cases with cervical diseases in Renmin hospital of Wuhan University were involved by TCT.Those who had positive TCT result then received colposcope and biopsy under colposcope.The pathologic diagnosis of biopsy was considered as gold diagnostic criteria.Results There were 96cases with positive TCT results.Comparing with histopathologic diagnosis of cervical disease above LSIL,The sensitivity and specificity of TCT were 91.23% and 79.49%,respectively,while its positive or negative predictive value were 86.67%and 86.11%,respectively,including 80% coincidence rate and 0.72Kappa value.Conclusion TCT plays a vital role in screening cervical disease,with its high application of clinic value.

关 键 词：宫颈疾病 TCT 阴道镜 病理组织学检查 

分 类 号：R737.33[医药卫生—肿瘤]