TCT及阴道镜下活检在宫颈疾病中的诊断价值  

TCT and colposcopy biopsy in the diagnosis of cervical disease

作　　者：纪丽伟[1,2] 童婷婷[1,2] 虞晴[1,2] 

机构地区：[1]上海交通大学附属医院 [2]苏州九龙医院妇产科,江苏苏州215021

出　　处：《中国实验诊断学》2010年第5期735-737,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨TCT联合阴道镜下活检在诊断宫颈病变中的应用价值。方法对2006年11月至2009年9月就诊于上海交通大学医学院苏州九龙医院妇科门诊8 377例患者行TCT筛查,其中细胞学阳性患者进一步阴道镜检查并行病理活检。结果细胞学阳性患者225例,其中ASCUS142例,LSIL 41例,HSIL 33例,病理符合率分别为73.9%,53.7%,51.5%。阴道镜下宫颈活检225例共检出CIN以上病例105例,病理阳性率占(46.7%)。CIN及原位癌年龄主要分布在20-49岁,CIN发生在20-39岁占58.1%。结论 TCT与病理组织学检查有较高符合率,联合阴道镜下活检能提高宫颈病变的检出率,可作为宫颈病变的筛查诊断方法 。Objective To investigate the TCT combined colposcopy biopsy in the diagnosis of cervical lesions in the application.Methods from November 2006 to September 2009 attendance at the Suzhou Kowloon Hospital 8 377 cases of patients undergoing outpatient gynecological TCT,in which cytology-positive patients in parallel to further colposcopy biopsy.Results The cytology-positive patients,225 cases,of which ASCUS142 cases,LSIL 41 cases,HSIL 33 cases of pathology consistent with rates of 73.9%,53.7%,51.5%.225 cases of cervical biopsy colposcopy CIN were found in more than 105 cases of cases pathology accounted for the positive rate（46.7%）.CIN and carcinoma in situ of age mainly in the 20-49 years of age,CIN occurred in the 20-39 years of age accounted for 58.1%.Conclusion TCT and pathological histology have a higher line rate,the joint colposcopy biopsy can improve the detection rate of cervical lesions can be used as diagnostic methods for cervical lesions.

关 键 词：宫颈病变 TCT 阴道镜下活检 

分 类 号：R711.74[医药卫生—妇产科学]