320例病人宫颈非典型鳞状上皮细胞的病理学分析及随访结果  

Results on 320 Cases of Pathological Analysis and Follow-up Patients with Atypical Squamous Cells of Undetermined Significance

作　　者：路光明 

机构地区：[1]茌平县妇幼保健院,山东茌平252100

出　　处：《预防医学论坛》2014年第7期505-507,共3页Preventive Medicine Tribune

摘　　要：目的探讨不能明确意义的非典型鳞状上皮细胞(atypical squamous cells of undetermined significance,ASCUS)的临床意义及处理方式。方法分析320例ASCUS患者的组织病理学结果和阴道镜评估与镜下活检结果。结果组织病理学检查显示,慢性炎症占143例(44.69%)、CIN1级80例(占25.00%),CIN II级47例(14.69%),CINIII级(42例(13.12%),浸润癌8例(2.50%)。结论宫颈细胞学检查结果 ASCUS可能是发现高级别CIN的信号。为及时发现宫颈病变需对ASCUS患者进行阴道镜检,有必要的话进行HPV-DNA检查。Objective To explore the clinical significance and different processing methods of atypical squamous cells of undetermined significance. Methods A total of 320 cases of atypical squamous cells of undetermined significance were performed by colposcopic biopsy test and histopathological examination,and then the data were analysised. Results Of the 320 patients with atypical squamous cells of undetermined significance,143cases（44.69%）of inflammation,80cases（25.00%）of CINⅠ,47cases（14.69%）of CINⅡ,42cases（13.12%）of CINⅢ,8cases（2.50%）of carcinoma in situ of cervix. Conclusion A cytologic diagnosis of atypical squamous cells of undetermined significance may be the indication of HSIL.In order to timely detection of cervical lesion,atypical squamous cells of undetermined significance patients should be checked by histopathological examination,if necessary,conduct HPV-DNA test.

关 键 词：宫颈细胞学 未明确意义不典型鳞状细胞(ASCUS) 组织病理学 宫颈上皮内瘤变 宫颈癌 

分 类 号：R173[医药卫生—妇幼卫生保健]