克拉玛依地区11051例宫颈液基细胞学检查结果分析  

Retrospective analysis of 11 051 cases of liquid-based cytology test in diagnosis of cervical cancer in Karamay district

作　　者：姜敏[1] 于民[1] 胡新梅[1] 王超[1] 郭国庆[1] 刁兆杰[1] 

机构地区：[1]新疆维吾尔自治区克拉玛依市中心医院病理科,834000

出　　处：《中国实用医刊》2012年第12期51-53,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨液基细胞学在宫颈癌及癌前病变筛查中的应用价值。方法回顾性分析克拉玛依市中心医院门诊11051例液基细胞检测和TBS分类系统结果，对异常结果与阴道镜下活组织检查病理诊断结果进行比较。结果11051例液基细胞学检测中，筛检出不典型鳞状细胞（ASC—US）及以上病例451例，阳性检出率为3．25％，其中意义不明确的ASC—US216例（1．96％），不除外高度鳞状上皮内病变的不典型鳞状细胞（ASC—H）77例（0．70％），低度鳞状上皮内病变（LSIL）54例（0．49％），高度鳞状上皮内病变（HSIL）4例（0．02％）。液基细胞学检测与阴道镜下病理活检结果的符合率为78．8％。结论液基细胞学与宫颈组织病理学诊断有较高的诊断符合率，细胞学医生正确掌握TBS的诊断标准是提高宫颈细胞学诊断质量的保证。Objective To investigate the application value of liquid-based cytology test in diagno- sis of cervical cancer and cytology subdivision from precancerous lesion. Methods The results of liquid-based cyology test and TBS 11 051 patients were retrospectively analyzed, and the abnormal results and the results of biopsy pathological diagnosis underwent colposcopy were compared. Results Four hundred and fifty-one positive cases of abnormal epirthelial cells were diagnozed by TCT, the positive rate was 3.25%, 216 cases （ 1.96% ） were atypical squamous cell （ ASC-US ） of undetermined significance, 77 cases （0. 70% ） were ASC-H, 54 cases （ 0. 49%） were LSIL, 4 cases （0. 02% ） were HSIL. In 219 histopathological results, the accordance rate of liquid-based cytology and histopathological diagnosis was 78.8%. Conclusions Liquid-based cer- vical cytology has high diagnostic accordance rate with histopathological diagnosis. It＇s the key to improve the quality asccurance of cervical cytology that cytologic doctors master the diagnostic criteria of TBS.

关 键 词：宫颈癌 液基细胞学 筛查 

分 类 号：R737.33[医药卫生—肿瘤]