两种宫颈涂片细胞学分类法的应用研究  

A comparison of two cytological classifications of cervical smear samples in screening of cervical carcinoma

作　　者：曾晓琴[1] 武秋林[1] 李萍[1] 苏红梅[1] 朱长艳[1] 陈文婷[1] 叶党英[1] 

机构地区：[1]广州市妇婴医院,广东广州510180

出　　处：《国外医学（妇幼保健分册）》2005年第6期346-348,共3页Foreign Medical Sciences (Section of Maternal and Child Health)

摘　　要：目的对宫颈涂片细胞学检查巴氏5级分类法与描述性诊断TBS分类法在宫颈癌筛查中的应用进行比较。方法对分别采用巴氏5级分类法与TBS分类法进行宫颈涂片细胞学检查的94 209例已婚妇女做回顾性分析。结果两种细胞学分类法对上皮异常细胞阳性,检出率有非常显著的意义(2χ=264.48,P<0.001)。TBS分类法应用于宫颈涂片细胞学检查能明显提高上皮异常细胞的检出率。结论建议对已婚妇女进行常规性宫颈涂片细胞学检查,并广泛推行TBS分类法。Objective To compare Papanicolaou＇ s Five Classification and The Bethesda System applied in screening of cervical carcinoma. Methods The results of 94 209 married women who received cervical smears sampling and cytological examination with Papanicolaou＇ s Five Classification and The Bethesda System were retrospectively analyzed. Results These two cytological classifications are of very important significance for positive detection rate of abnormal cervical epithelia （χ^2 = 264.48, P 〈 0, 001 ） The detection rate of abnormal cervical epithelial cells with TBS was significantly higher than that with Papanicolaon＇s Five Classification （ P 〈 0. 05 ）. Conclusion The cervical smears sampling and cytological examination should regularly be conducted for married women, and in cytological examination, The Bethesda System should be adopted extensively.

关 键 词：宫颈癌筛查 宫颈涂片 巴氏5级分类法 TBS分类法 

分 类 号：R364.3[医药卫生—病理学]