毛细式液基细胞学薄层染色技术对宫颈癌筛查应用价值的探讨  

Application of capillary TCT for cervical cancer screening

作　　者：崔浩杰[1] 易有峰[1] 王晓娟[1] 陈有元 

机构地区：[1]潍坊市寒亭区人民医院检验科,山东潍坊261100

出　　处：《中华肿瘤防治杂志》2011年第2期142-143,146,共3页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨毛细式液基细胞学检测技术(TCT)在宫颈癌筛查中的应用价值,对960例患者行TCT检查,采取TBS报告方式,将意义不明确的不典型鳞状上皮细胞(ASCUS)以上病变列为阳性病例,且在阴道镜下行活检,将细胞学检测结果与活检结果作对比分析。毛细式TCT检测标本满意率99.00%,960例涂片中阳性病例204例,阳性率21.25%(204/960);对63例异常者行阴道镜下活检与组织病理学诊断,总符合率90.48%(57/63)。初步研究结果提示,毛细式TCT技术应用宫颈细胞涂片筛查,提高了异常细胞的检出率,TCT检查异常病例配合阴道镜多点活检检查,是诊断宫颈病变的可靠方法,联合应用可提高宫颈病变的诊断率。The objective of this study was to study the value of capillary thinprep cytology test（TCT） in cervix cancer.A total of 960 cases were detected by TCT and TBS cytology subdision.The samples of atypical squamoha cell and more abnormal cell were positive,then compared the positive results with colposcopical biopsy examination.The satisfactory rate of TCT smears was 99%,204 samples were positive,and the positive rate was 21.25%（204/960）.Of these 204 cases,63 cases underwent the pathological examination,and the rate of concidence was 90.48%（57/63）.In conclusion,if combined colpiscopical with pharmological examination,capillary TCT can be used to find out the early cervix lesion as soon as possible.The TBS cytology subdivision is more detailed,simple and direct.

关 键 词：宫颈肿瘤/病理学 活组织检查 阴道镜检查 普查 

分 类 号：R737.33[医药卫生—肿瘤]