液基细胞学筛查宫颈癌的临床分析  

The clinical analysis of cervical cancer screening by liquid-based cytology

作　　者：顾芸[1] 李凤山[1] 李青[1] 韦玮[1] 武卫平[1] 

机构地区：[1]南京医科大学附属南京市妇幼保健院病理科,210004

出　　处：《中国妇幼保健》2008年第10期1416-1418,共3页Maternal and Child Health Care of China

摘　　要：目的：评价液基薄层细胞学技术对妇科门诊人群子宫颈癌筛查的准确性,探讨宫颈癌患者年轻化的倾向。方法：对妇科门诊18340例宫颈脱落细胞标本,采用薄层细胞学检查（TCT）技术制片和TBS方案进行诊断,阳性者行阴道镜下病理组织学活检并按年龄分组。结果：TCT与病理组织学对照,TCT的阳性符合率：LSIL为29/54（53.70%）,HSIL为22/25（88.00%）,SCC为1/1（100.00%）。TCT检出的191例ASC经组织学证实143例为炎症或其它,48例为CIN和SCC。31～40岁年龄段是CIN的高发年龄段,几率为40/81（49.38%）。结论：TCT与病理组织学有一定的相关性,TCT作为无创伤检测,是门诊筛查子宫颈癌的有效方法,门诊筛查子宫颈癌要对年轻的妇女特别关注。Objective： To evaluate the accuracy of liquid - based thin - layer cytology for cervical cancer screening in clinic and discuss the tendency of younger cervical cancer patient. Methods： Thin -layer cytology test （TCT） and the bethesda system （TBS） were used to examine 18340 women cervical - cell samples coming from the clinic. Women with abnormal results received colposcopic examinations and multiple biopsies. Results： The coincidences of TCT to biopsy were high ： LSIL 29/54 （53.70%）, HSIL 22/25 （88.00%）, SCC 1/1 （100. 00% ） and accuracy 195/271 （71.96%） . Conclusion： TCT is propitious to screen cervical disease and is an efficacious screening technique of cervical cancer. Young women should be adverted particularly in clinic screening.

关 键 词：液基薄层细胞学检查 TBS 宫颈癌 

分 类 号：R737.33[医药卫生—肿瘤]