TCT与巴氏细胞学在宫颈癌筛查中的对比研究  

Comparison study of TCT and Pap smear cytology in the screening of cervical cancer

作　　者：李琴艳[1] 杨庆忠[1] 付雯[1] 

机构地区：[1]江西省妇幼保健院病理细胞室,330006

出　　处：《中国妇幼保健》2007年第9期1173-1174,共2页Maternal and Child Health Care of China

摘　　要：目的:评价ThinPrep宫颈液基细胞学(TCT)检查在宫颈癌筛查中的敏感性和价值。方法:回顾2500例体检病人液基细胞学诊断及2500例门诊病人普通涂片诊断,细胞学诊断采用TBS标准,以组织学活检作对照。结果;液基细胞学和普通细胞学分别检出鳞状细胞癌(SCC)100.00%、83.33%,鳞状上皮内高度病变(HSIL)97.22%、84.06%,鳞状上皮内低度病变(LSIL)77.91%、68.75%,两者诊断SCC的准确率分别为80.00%、66.67%,诊断HSIL的准确率分别为73.61%、62.32%。结论:ThinPrep液基细胞学检查敏感性高于巴氏细胞学,特别是诊断HSIL以上。Objective： To evaluate the sensitivity and clinical value of liquid -based cytology （Thip -Prep Cytology Test） for the screening of cervical cancer. Methods： The cytology and biopsy results in 2 500 normal persons and 2 500 patients in outpatient were reviewed. Results： The accuracy rates of diagnosis between Thip- Prep cytology and Pap smear were SCC 100%, 83%, HSIL 97%, 84%, LSIL 78%, 69%. The accuracy diagnosis rates in HSIL were 75% and 62%. Conclusion： The diagnosis Thip - Prep cytology test is more sensitive than it in Pap smear, especially in HSIL and above.

关 键 词：液基细胞 宫颈癌 筛查 

分 类 号：R737.33[医药卫生—肿瘤]