改良取材方法与传统宫颈刮片结果分析  

A comparative analysis of the results ob cervical smear between improved method and the traditional method

作　　者：俞飞[1] 陈维忠[1] 王玉娣[1] 郝吉琴 黄桂兰[1] 

机构地区：[1]高邮市妇幼保健所,江苏高邮225600

出　　处：《基层医学论坛》2013年第28期3686-3687,共2页The Medical Forum

摘　　要：目的比较分析在宫颈刮片检查中改用宫颈细胞刷取材与木刮板取材在宫颈癌筛查中的实用性。方法将2 468例女职工随机分成试验组1 228例、对照组1 240例,试验组用宫颈细胞刷取材,对照组用木刮板取材。比较2组宫颈癌筛查标本满意率、阳性细胞检出率及与活检病理结果符合率。结果 2组标本满意率比较差异有统计学意义;细胞学阳性率试验组为6.29%,对照组为3.09%,2组比较差异有统计学意义(P<0.05);2组细胞学异常与阴道镜下活检病理结果比较,差异有统计学意义(P<0.01)。结论使用宫颈细胞刷取材标本质量较好,可以提高宫颈刮片细胞学检查的阳性率及与活检病理结果符合率,是一种值得推广的宫颈病变筛查取材方法。Objective To compare the smear examinations between using cytobrush sampling and wooden scraper in screening of cervical cancer. Methods Gaoyou City garment enterprise female workers were randomly divided into the experimental group（1228 cases）,the control group（1 240 cases）,the experimental group used cytobrush sampling, the control group used wooden scraper, the satisfactory rate of screening specimen, positive rate, positive cell and biopsy results coincidence in two groups was compared. Results The differences between the two groups was significant;cytology positive rate of experimental group was 6.20%, the control group was 3.09%, the difference was statistically significant （P〈0.05）; the cytology and colposcopy biopsy pathological abnormalities in two groups were compared （P〈0.01）,the difference was statistically significant. Conclusion Using a cytobrush sampling specimen quality was good,which improve cervical scraping cytology and biopsy positive rate and coincidence rate, was a low cost method of screening for cervical lesions.

关 键 词：宫颈疾病筛查 宫颈涂片 宫颈细胞刷 木刮板 

分 类 号：R737.33[医药卫生—肿瘤]