液基薄层细胞检测系统与巴氏涂片法在宫颈细胞学检查中的比较  

Liquid Thin Layer Cell Detection System and Traditional Pap Smear Method in the Comparative Study of Cervical Cytology

作　　者：何大保 张涛 周华 

机构地区：[1]深圳南山区慢性病防治院检验科,深圳518054 [2]深圳南山区慢性病防治院妇产科,深圳518054

出　　处：《中国医药导刊》2010年第11期1992-1993,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:比较液基薄层细胞检测(TCT/TBS)系统与传统巴氏涂片法在宫颈细胞检查中的临床应用价值。方法:分别采取TCT制片/TBS诊断和巴氏涂片五级诊断法对1146例妇女宫颈刮片结果进行分析,并对不典型鳞状细胞(ASCUS)以上病变进行阴道镜下多点取材活检,以组织学诊断为金标准,评价二种方法的临床应用价值。结果:宫颈刮片1146例,巴氏分级发现异常8例,不包括炎性核异质,占0.69%。TBS分类结果:ASCUS和ASUS者65例,占5.67%,LSIL者4例,占0.34%,HSIL6例,占0.52%。结论:TCT/TBS检出阳性率较高,与组织学检查的诊断符合率较高,在临床中具有较高的应用价值。Objective： Comparison of Thinprep cytologic test（TCT） with the traditional Pap smear in cervical cytology in the clinical application. Methods： Using TCT smear fIBS diagnostic report and Pap smear report of five diagnostic methods to analyze 1146 cases of cervical smears of women, and Comparision of TCT and traditional well as atypical squamous cells （ASCUS） or more lesions to multi-point derived biopsy under colposcopy, with histological diagnosis as the gold standard to evaluate the clinical application value of the two methods. Results：We found 8 abnormals in 1146 cervical scrapers,not including inflammatory dyskaryosis, which takes 0.69% of all 65 samples of ASCUS and AGUS taking 5.67%;4 Ls taking 0.34%; and 6 HSILs taking 0.52% had shown in our research of TBS. Conclusion：TCT had high positive rate and had a high Compliance rate with histologic diagnosis. It shows this method had a high value in the clinical application.

关 键 词：液基薄层细胞检测 巴氏分级 宫颈细胞学 

分 类 号：R737.33[医药卫生—肿瘤]