宫颈液基细胞学诊断的高度鳞状上皮内病变与宫颈活检对比分析  

作　　者：程华柏 龚婷[1] 胡芬[1] 李焱[1] 

机构地区：[1]嘉鱼县人民医院病理科,湖北437200

出　　处：《当代医学》2013年第18期1-2,共2页Contemporary Medicine

摘　　要：目的探讨宫颈液基细胞学检查诊断的高度鳞状上皮内病变与宫颈活检存在差异的因素及相关病变的鉴别诊断要点。方法选取宫颈液基细胞学诊断高度鳞状上皮内病变并有宫颈活检对比的病例181例,对细胞学和宫颈活检结果进行对比分析。结果液基细胞学诊断的181例高度鳞状上皮内病变的病例中,组织病理学诊断CINII和(或)CINIII(原位鳞癌)148例,慢性宫颈炎8例,CINI17例,原位癌早期浸润5例,浸润性鳞癌2例,原位腺癌1例。结论掌握宫颈高度鳞状上皮内病变的细胞学的细胞病理特征和鉴别诊断要点,并与宫颈活检结合才能对宫颈病变情况作出更为准确的判断。Objective To explore the differential diagnosis of cervical cytology high-grade squamous intraepithelial lesions and cervical biopsy diagnosis of different factors and related lesions.Methods Cervical liquid-based cytology diagnosis of high-grade squamous intraepithelial lesion and cervical biopsy contrast 181 cases,comparative analysis of cytology and biopsy results. Results Liquid-based cytology in 181 cases of high grade squamous intraepithelial lesion cases,the pathologic diagnosis of CINII and/or CINIII（squamous cell caninoma in situ） in 148 cases,8 cases of chronic cervicitis, 17 cases of CINI,5 cases of early invasive carcinoma,2 cases of invasive squamous cell carcinoma, 1 cases of adenocarcinoma in situ.Conclusion The cytology of cervical high-grade squamous intraepithelial lesion cell pathological features and differential diagnosis of cervical lesions,and can make a more accurate judgment and cervical biopsy combined with.

关 键 词：宫颈液基细胞学 高度鳞状上皮内病变 组织活检 鉴别诊断 

分 类 号：R737.33[医药卫生—肿瘤]