TCT联合阴道镜检查提高宫颈疾病检出率  

TCT combined with colposcope examination improved the detection rate of cervix diseases

作　　者：徐景杰[1] 郭纯[1] 朱洪玲[1] 杨敏[1] 

机构地区：[1]武警内蒙古总队医院,内蒙古呼和浩特010030

出　　处：《武警医学院学报》2009年第9期781-783,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨液基薄层细胞学(TCT)联合阴道镜检查对宫颈病变的诊断价值。【方法】选择妇科门诊临床可疑患者610例进行宫颈病变筛查,其中338例行TCT联合阴道镜活检(实验组),272例直接阴道镜检查并镜下取材活组织检查(对照组)。最终以病理组织诊断为标准,比较两组组织学诊断阳性率。【结果】TCT联合阴道镜检查与病理组织阳性符合率为71.30%(241/338),直接阴道镜下取材活检阳性率为31.25%(85/272)。【结论】TCT联合阴道镜下活组织病理检查可提高宫颈病变诊断率,是筛查和诊断宫颈病变的可靠手段。[Objective] To investigate the diagnostic value of thinprep cytoiogie test （TCT） combined with biopsy under colposcope for the diagnosis of cervical intraepithelial neoplasid （CIN） . [Methods] A total of 610 suspicious patients were assigned to receive TCT combined with biopsy under colposcopy （TCT group, 338 patients） or biopsy under colposcopy ramdomly （control group, 272 patients） .Pathologic examination of biopsy sample was used as gold standard. [Results] The coincidence on diagnosis of cervical lesions between TCT group and pathologic examination of biopsy sample was 71.3 % （241/338）, the coincidence on diagnosis of cervical lesions between control gronp and pathologic examination of biopsy sample was 31.25% （55/272）, the difference was significnt （P 〈 0.01） . [Conclusions] TCT combined with biopsy under colposcopy may be a reliable method to screen and diagnose the precancerosis of cervix.

关 键 词：液基薄层细胞学 阴道镜检查 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]