宫颈液基薄层细胞学检查在女飞行员宫颈病变筛查中的作用  

The Role of Thinprep Cytologic Test in Screening for Cervical Lesions of Female Pilots

作　　者：侯朝晖[1] 任力[2] 童英[1] 刘露[1] 

机构地区：[1]中国人民解放军空军总医院妇产科,北京100142 [2]中国人民解放军空军总医院病理科,北京100142

出　　处：《航空航天医药》2010年第8期1371-1372,共2页Aerospace Medicine

摘　　要：目的:探讨宫颈液基薄层细胞学检查在女飞行员妇科体检中的作用。方法:回顾性分析2007-01～2008-12间运用宫颈液基薄层细胞学检测(TCT)及传统巴氏涂片方法,均采用TBS分类,对40名女飞行员进行宫颈病变的筛查。不典型鳞状上皮细胞(ASC-US)以上列为阳性病例,比较两种细胞学诊断结果与阴道镜下活检宫颈组织病理学结果间的关系。结果:TCT细胞学阳性病例5例,阳性率为12.5%(5/40),组织病理学阳性3例,均为人类乳头瘤状病毒感染,阳性60%(3/5);而传统细胞学的阳性检出率仅为5%(2/40),组织病理阳性率为0。结论:宫颈TCT检测能明显提高细胞学诊断的阳性率,女飞行员HPV感染现象值得关注。Objective：To explore the role of thinprep cytologic test in the gynecologic examination of female pilots.Methods：The cervical screening results of forty female pilots from Jan.2007 to Dec.2008 were retrospectively analyzed.They were examined by thinprep cytologic test（TCT） and the traditional Pap smear method,and the samples were all classified by the bethesda system.The atypical squamous cell of undetermined significance（ASCUS） or above was determined as positive.The cytologic diagnosis by the both methods were compared with the results of cervical biopsy under colposcopy.Results：Through thinprep cytologic test（TCT）,there were 5 Cytology-positive cases with the positive rate 12.5%（5/40）,three of which were histopathology-positive with the positive rate 60%（3/5）.While through the conventional cytology method,the positive rate was only 5%（2 /40）,and the histopathology-positive rate was zero.Conclusions：The positive rate of cytologic diagnosis by thinprep cytologic test（TCT） is markedly improved;The human papillomavirus infection of female pilots should be concerned.

关 键 词：液基薄层细胞学 传统巴氏涂片 宫颈病变 TBS 组织病理学 人类乳头瘤状病毒 

分 类 号：R855[医药卫生—航空、航天与航海医学] R446.8[医药卫生—临床医学]