15564例宫颈细胞学诊治结果分析  

Analysis on results of diagnosis and treatment of cervical cytology in 15 564 cases

作　　者：许超[1] 周家德[1] 王彦[1] 马丽[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,硕士研究生安徽合肥230022

出　　处：《中国妇幼保健》2009年第17期2421-2423,共3页Maternal and Child Health Care of China

摘　　要：目的:评价宫颈异常细胞学的诊治结局,为临床正确处理提供参考。方法:对15 564例薄层液基细胞学(TCT)报告为异常的1 090例和TCT提示正常或炎症需进行宫颈微波治疗的1 277例进行阴道镜检查,并对诊治结局进行回顾性分析。结果:15 564例共检出ASCUS 716例(4.60%),AGC10例(0.06%),ASC-H 8例(0.05%),LSIL 269例(1.73%),HSIL 71例(0.46%),宫颈癌16例(0.10%);对活检确诊的437例C IN行LEEP术,手术前后病理诊断符合率为40.73%,术后病理级别下降者占42.56%,术后病理级别上升者占16.71%。结论:TCT是宫颈病变初筛的重要方法,结合阴道镜活检可早期发现宫颈癌前病变;LEEP术是明确诊断和治疗C IN有效而理想的方法,阴道镜点活切有一定的局限性,术后仍应严密随访。Objective： To evaluate the results of diagnosis and treatment of abnormal cytology of cervix, provide some references for clinical appropriate management. Methods： 15 564 cases were detected by liquid - based thinprep cytology test （TCT）, 1 090 cases with abnormal results and 1 277 cases undergoing microwave therapy were examined by vaginoscopy, then the results were analysed retrospectively. Results： Among the 15 564 cases, there were 716 cases （4. 60% ） of ASCUS, 10 cases （0. 06% ） of AGC, 8 cases （0. 05% ） of ASC - H, 269 cases （ 1.73% ） of LSIL, 71 cases （0. 46% ） of HSIL and 16 cases （0. 10% ） of cervical cancer; 437 cases of CIN underwent LEEP, the coincidence rate before and after operation was 40. 73% , the proportions of downgraded cases and upgraded cases were 42. 56% and 16. 71%. Conclusion： TCT is a vital method for cervical cancer screening, which can be adopted combined with biopsy under vaginoscopy to detect precancerous lesions of uterine cervix ; TCT is a effective and perfect method for the specific diagnosis and treatment of CIN, biopsy under vaginoscopy has some limitations in the diagnosis of cervical disease, regular follow - up is necessary.

关 键 词：液基细胞学 阴道镜 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]