TBS诊断系统在宫颈病变中的应用研究  

Application of the Bethesda system in cervical diagnosis

作　　者：张文华[1] 黎卫平[2] 辛晓玲[1] 赵汝珠[1] 徐锦峰[1] 

机构地区：[1]兰州军区兰州总医院妇产科,甘肃兰州730050 [2]兰州大学医学院病理生理教研室

出　　处：《西北国防医学杂志》2005年第5期340-341,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:对642例查体病人的宫颈涂片进行分析,研究宫颈良性病变和癌前病变及癌变在正常人群中的的发病率.方法:应用TBS系统对兰州市某大型商场30～51岁妇女642例行子宫颈涂片,显微镜下阅片,作出诊断,并对SIL以上的病例行阴道镜下活检术,进行病理检查.结果:正常582例,异常60例,全部病例中仅1例漏诊.结论:TBS诊断系统与病理和临床诊断趋于一致,具有很高的准确性和适用性.Objective： Using the Bethesda system to evaluate 642 Pap smear samples to investigate the prevalence rate of cervical benign, precarcinomatous and cacinomatous lesions in normal people. Methods： Cervical Pap smears were obtained from 642 women （30 to 51 years old） of a supermarket. Their Pap smears were read by microscope to acquire diagnosis, cervical biopsy was taken under the guidance of colposcopy for pathological examination for those diagnosed to be ASCUS and AGCUS women. Results： A total of 582 cervical Pap smears were negative, 60 cases were abnormal and only 1 case was fail to report. Conclusion： The Bethesda system diagnosis is consonant with clinical and pathological diagnosis. It is an accurate and applicable method in cervical diagnosis.

关 键 词：子宫颈涂片 子宫颈癌 诊断 

分 类 号：R446.8[医药卫生—诊断学]