宫颈细胞学检查未明确意义不典型鳞状细胞的临床意义及处理  

Clinical significance and treatment of cervical cytology as atypical squamouns cells of undetermined significance

作　　者：祝建芳[1] 王成有[1] 吴荔香[1] 

机构地区：[1]福建省妇幼保健院病理科,福建福州350001

出　　处：《中国现代医学杂志》2013年第11期107-109,共3页China Journal of Modern Medicine

摘　　要：目的探讨未明确意义不典型鳞状细胞(atypical squamouns cells of undetermined significance,ASCUS)联合宫颈活检在宫颈病变诊断中的应用价值。方法回顾性分析500例液基薄层细胞学诊断为ASCUS同时行阴道镜检查及宫颈活检的病例结果。结果 500例ASCUS患者宫颈活检病理结果:炎症358例占71.6%,宫颈息肉4例占0.8%,尖锐湿疣4例占0.8%,轻度宫颈上皮非典型增生CINⅠ74例占14.8%,中度宫颈上皮非典型增生CINⅡ27例占5.4%,重度上皮内瘤变CINⅢ33例占6.6%,浸润癌0例占0%。结论对ASCUS的患者行阴道镜下宫颈活检可早期发现宫颈病变。【Objective】 To explore the value of atypical squamous cells of undetermined significance（ASCUS） diagnosed by the Thinprep cytology test and cervical biopsy.【Methods】 500 cases who were diagnosed as ASCUS underwent colposcopic examinations and cervical biopsy were analyzed retrospectively.【Results】 The results of cervical biopsy who diagnosed ASCUS： inflammation 358 cases（71.6%）,cervical polyp 4 cases（0.8%）,condyloma acuminatum 4 cases（0.8%）,CINⅠ 74 cases（14.8%）,CINⅡ 27 cases（5.4%）,CIN Ⅲ 33 cases（6.6%）,invasive carcinoma 0 cases（0%）.【Conclusion】The patients that diagnosed ASCUS could receive cervical biopsy for early detection of cervical lesions.

关 键 词：未明确意义不典型鳞状细胞 宫颈病变 宫颈活检 

分 类 号：R365[医药卫生—病理学] R446.8[医药卫生—基础医学]