江苏震泽地区农村妇女宫颈癌普查5807例宫颈刮片细胞学分析  

Cytological Analysis of Cervical Smears in 5807 Rural Women in Zhenze of Jiangsu Province

作　　者：李毓飞[1,2] 鲍芳[1,2] 项颖[1,2] 戴一龙[1,2] 张智弘[1,2] 

机构地区：[1]江苏盛泽医院 [2]江苏省人民医院盛泽分院病理科,江苏吴江215228

出　　处：《中国现代医生》2011年第22期7-8,共2页China Modern Doctor

摘　　要：目的通过江苏震泽农村妇女宫颈刮片细胞学检查,了解该地区妇女宫颈疾病情况。方法选择2010年3～11月江苏震泽地区农村妇女5807例行宫颈刮片检查。采用巴氏涂片细胞学检查法、TBS分级报告。对结果阳性患者,行阴道镜检查,并取病变组织活检,经组织病理学确诊。结果 5807例受检妇女中,巴氏涂片阳性率为1.24%(72/5807),宫颈癌检出率为0(0/5807)。其中49例细胞学检查结果阳性的妇女组织病理活检,癌前病变检出率(病理学诊断为≥CINⅠ者)40例(40/49),与涂片结果相比,其符合率为:ASC 73.53%(25/34),LSIL 100%(8/8),HSIL 100%(7/7)。结论宫颈刮片细胞学检查方法简单、经济,临床指导意义大,适用于宫颈癌防癌普查及基层医院检查。Objective To investigate the situation of women＇ s cervical disease by cervical cancer screening in Zhenze of Jiangsu Province. Methods A total of 5807 rural women were examined between March to November in 2010. Conventional smear and TBS grading report were applied. The women with positive cytological results were then examined by electronic colposcope （ ES ） and finally diagnosed by histopathology. Results A total of 1.24% cases were positive in cytological analysis and none was cervical cancer. 49 women did biopsy and 40 cases among them suffered precancerous lesions （ The diagnosis is CIN Ⅰ , Ⅱ Ⅲ）. Compared with the result Of cytology, the accuracy rate of ASC is 73.53% （ 25/34 ）, LSIL is 100% （ 8/8 ）and HSIL is 100% （ 7/7 ）. Conclusion Cervical smear is a simple, practical and economical method which has great clinical value, especially in cervical cancer-screening investigation and primary hospitals.

关 键 词：宫颈刮片 巴氏染色 TBS分级报告 宫颈病变 普查 

分 类 号：R446.8[医药卫生—诊断学]