液基细胞学在宫颈早期病变筛查中的优越性  

The Benefit of Thinprep Cytology Test in Screening Cervical Disease

作　　者：邢丽丽 邱景贤 

机构地区：[1]安徽省芜湖市宣城地区人民医院妇产科,241000

出　　处：《中华全科医学》2009年第10期1064-1065,共2页Chinese Journal of General Practice

摘　　要：目的评价液基细胞学(thinprep cytology test,TCT)薄片制片对宫颈病变筛查的准确性。方法采用TCT制片及传统宫颈细胞涂片法分别对2186例、2219例受检者进行宫颈癌筛查。结果TCT薄片法和传统巴氏涂片法对低度鳞状上皮内病变(LSIL)以上病变的检出率分别为4.35%、1.67%,两者结果差异有统计学意义(P<0.01)。结论ThinPrep液基细胞学检查敏感性明显高于传统宫颈细胞涂片法,能大大提高检出率,尤其是对LSIL和HSIL的患者。Objective To evaluate the accuracy and efficiency of routine paint and liquid-based cytology for cervical disease, especially for cervical carcinoma. Methods 2 186 and 2 219 patients were screened for cervical carcinoma with TCT and traditional cervical cells smears respectively. Results The above-LISL pathological changes identified by TCT and traditional smears were 4.35% and 1.67 % respectively. There was significant difference between the two groups（P 〈 0.01 ）. Conclusion TCT is more sensitive than traditional cervical cells smears. Liquid-based cytology can improve the detection rate of LSIL in cervical screen,especially in HSL and HSIL.

关 键 词：宫颈肿瘤 液基细胞学 筛查 TBS诊断 

分 类 号：R737.33[医药卫生—肿瘤] R730.21[医药卫生—临床医学]