液基薄层细胞学对早期宫颈病变的诊断价值  

The diagnose value of thinprep cytology test to early cervix process

作　　者：周扬帆[1,2] 李艳[3] 杨晓扬[4] 曾俐琴[5] 陈艳宇[1,2] 王爱武[1,2] 王贵明[1,2] 彭芳[1,2] 权莉[1,2] 谭夕[1,2] 

机构地区：[1]广东省第二人民医院 [2]广东省应急医院病理科,广东广州510317 [3]南方医科大学附属何贤纪念医院 [4]解放军第四二一医院 [5]广东省妇幼保健院

出　　处：《中国妇幼保健》2014年第27期4526-4528,共3页Maternal and Child Health Care of China

基　　金：广东省医学科研基金〔A2010068〕

摘　　要：目的：探讨液基薄层细胞学检查对早期宫颈病变的诊断价值。方法：对5 663例液基薄层细胞学的检查结果按年龄分组进行分析,对细胞学结果阳性且自愿接受阴道镜和病理活体组织检查（活检）的组织学结果与细胞学结果进行对比,观察细胞学结果的符合率。结果：共有509例细胞学阳性,占8.99%,其中40～49岁组阳性率最高,达14.12%;有405例细胞学阳性病例接受组织活检,占79.57%,总的结果符合率为64.44%,其中鳞状细胞癌、非典型腺细胞、子宫颈管原位腺癌的符合率为100.00%。结论：液基薄层细胞学检查对早期宫颈病变有较高的诊断价值,可筛查出早期病变并发现早期癌变,适合大范围普查。Objective： To approach the diagnose value of thinprep cytology test（ TCT） to early cervix process. Methods： There were 5 663 cases of TCT which were divided to different groups according to age. Masculine of cytology were underwent colposcope and biopsy according to there aspiration. The coincidence was under observed. Results： There were 509 cases with masculine and the ratio was 9. 0%. Among them the 40- 49 group had the highest masculine rate which was 14. 1%. 405 cases accepted biopsy and the total coincidence was 64. 4%. The coincidence of squamous carcinoma,atypia glandular cell and adenocarcinoma in situ were 100%. Conclusion： TCT has higher valve to early uterine lesion,it can screening earlier period process and discover early carcinoma. TCT is worth to wide- bound extensive.

关 键 词：液基薄层细胞学 早期宫颈病变 诊断 

分 类 号：R737.33[医药卫生—肿瘤]