538例宫颈非典型上皮细胞初筛结果分析  

Cervical screening results analysis of 538 cases of atypical cervical epithelial cells

作　　者：梁爽[1] 王彬[1] 曹娇燕[1] 

机构地区：[1]重庆市妇幼保健院,400013

出　　处：《重庆医学》2009年第22期2858-2859,2862,I0004,共4页Chongqing medicine

摘　　要：目的分析宫颈液基细胞学检查结果为意义不明的非典型鳞状细胞(ASCUS)及非典型腺细胞(AGC)患者的病理变化,探讨其临床意义及处理原则。方法回顾性分析2008年3月至2009年2月接受宫颈液基细胞学检查并诊断为ASCUS或AGC的患者692例,对其中538例行阴道镜及组织病理活检,将活检结果同细胞学结果对比研究。结果530例作活检的AS-CUS患者中,炎症364例,单纯湿疣病变12例,宫颈上皮内瘤变(CIN)147例,鳞癌7例,经χ2检验,各组织学结果检出率与年龄差异无统计学意义(P>0.05);8例作活检的AGC患者中,炎症3例,CIN 2例,腺体异型增生2例,腺癌1例。结论ASCUS以中青年患者居多,宫颈管搔刮术结合阴道镜下活检术应作为AGC患者进一步检查的首选方法。Objective To investigate the pathological changes,clinical significance and treatment principles of the patients with liquid-based cervical cytology result of ASC-US and AGC. Methods To perform the retrospective analysis from March 2008 to February 2009 in our hospital for liquid based cervical cytology and diagnosed as ASCUS （or AGC） on 692 cases. Among them, 538 cases accepted routine eolposcopy and biopsy test. The biopsy results were compared cytology results. Results There were 364 cases of inflammation, 12 cases of simple condyloma lesions, 147 cases of CIN and 7 cases of squamous cell carcinoma in the biopsy results of 530 patients with ASCUS. There was no statistical significance between the results and age by Х^2 test（P〉 0.05）. There were 3 cases of inflammation, 2 cases of CIN, 2 cases of glandular dysplasia and 1 case of adenocarcinoma among the 8 cases of AGC biopsy patients. Conclusion Most patients with ASCUS were young people. Combination of cervical canal curettage biopsy under colposcopy AGC patients should be the preferred method of further examination.

关 键 词：液基细胞学 非典型细胞 宫颈癌 病理组织学 

分 类 号：R737.33[医药卫生—肿瘤] R730.2[医药卫生—临床医学]