宫颈无明确意义的非典型鳞状上皮细胞改变219例临床病理分析  

Clinical pathological analysis of cervical ASC-US in 219 cases

作　　者：周素娟[1] 郭华[1] 

机构地区：[1]福建医科大学附属宁德市医院病理科,宁德352100

出　　处：《福建医药杂志》2013年第6期62-64,共3页Fujian Medical Journal

摘　　要：目的探讨宫颈液基细胞学检查中无明确意义的非典型鳞状上皮细胞改变(ASC-US)患者的临床病理特点。方法对我院妇科及体检中心的15 406例女性进行宫颈新柏氏液基细胞学检测(TCT),检出为ASC-US阳性患者1061例,对其中的219例ASC-US进行阴道镜下病理组织学多点活检检查,分析阴道镜活检结果。结果炎症115例(52.51%),宫颈上皮内瘤变(CIN)1级79例(36.07%),CIN2级13例(5.94%),CIN3级10例(4.57%),SCC2例(0.91%)。结论对于宫颈TCT检测为ASC-US的患者,进行组织病理学活检,明确宫颈病变等级是非常必要的,对宫颈癌的早期预防与治疗起至关重要的作用,值得在临床上推广。Objective To analyze the clinical pathology of the liquid-based cervical cytology detected ASC-US. Methods A total of 15 406 cases of women received Thin Prep TCT in the department of gynecology and medical center of our hospital between Jan. 2011 and Feb. 2012, and 1 061 cases of women were found as positive ASC-US. Among the 1 061 cases of ASC-US patients, 219 cases of patients received colposcopic biopsy histopathology multi-point inspection. The colposcopic biopsy histopathology inspection results were analyzed. Results There were 115 cases （52.51%） with inflammation, 79 cases （36.07%） in the CIN1 grade, 13 cases （5.94%） in the CIN2 grade, 10 cases （4. 57%） in the CIN3 grade and 2 cases （0.91%） were SCC. Conclusion For ASC-US patients through TCT detection, the cotposcopic biopsy-histopathology detection is necessary. It is vital for early prevention and treatment of cervical cancer. Therefore, it is worth of promotion.

关 键 词：新柏氏液基细胞学检测 无明确意义的非典型鳞状上皮细胞改变 组织病理学活检 

分 类 号：R737.33[医药卫生—肿瘤]