探讨子宫颈癌的筛查方法  

The methods of screen for cervical cancer

作　　者：谭晓嫦[1] 陈文娟[1] 陈永秀[1] 毛婷[1] 李延霞[1] 

机构地区：[1]广东省妇幼保健院,广州510100

出　　处：《中国妇幼卫生杂志》2014年第1期35-36,共2页Chinese Journal of Women and Children Health

摘　　要：目的探讨子宫颈癌的筛查方法及临床效果。方法分析广东省妇幼保健院2328例妇女宫颈细胞筛查结果。结果传统巴氏细胞学检查病理阳性13例,检出率2.18%;液基细胞学检查病理阳性44例,检出率2.54%。传统巴氏检查微生物阳性28例,检出率4.71%;液基细胞学检查微生物阳性113例,检出率6.52%。传统巴氏检查的灵敏度是50%,液基检查的灵敏度是75%,二者比较差异具有统计学意义(P<0.05)。结论液基细胞学检查方法在微生物阳性检出率、灵敏度等方面优于传统巴氏细胞学检查,筛查效果明显改善,将其用于子宫颈癌筛查在基层医院具有重要临床意义。[ Objective ] To explore the methods and clinical effects of screen for cervical cancer. [ Methods ] 2328 cases of patients with cervical cancer were researched. The results of cytologic screening were analyzed. [ Results ] The effective showed that the the diagnostic certainty of traditional papanicolaou cytologie examination was 2.18%（13 cases）; The diagnostic certainty of liquid-based cytology examination was 2.54%（44 eases）. The microbial positive of traditional papanicolaou cytologic examination was 4.71%（28 cases）; The microbial positive of liquid-based cytology examination 6.52%（113 cases）. The sensitivity of liquid-based cytology examination（75%） was higher than the traditional papanicolaou cytologic examination（50%）（P〈0.05）. [ Conclusion ] The liquid-based cytology examination gradual replacement of traditional papanicolaou cytologic examination, it can improve the effects of screen. It has important clinical value by new cervical cancer screening for primary hospital.

关 键 词：宫颈癌 宫颈细胞筛查方法 传统巴氏细胞学检查 液基细胞学检查 

分 类 号：R737.33[医药卫生—肿瘤]