液基细胞学检测及阴道镜检查在宫颈病变诊断中的价值  

Value of Liquid-based Cytology Test and Colposcopy Check in Diagnosis of Cervical Lesion

作　　者：张红 李秀莲 温晓菊[2] 杨波[2] 

机构地区：[1]沙湾县妇幼保健院,新疆沙湾832100 [2]新疆医科大学附属肿瘤医院细胞室,乌鲁木齐830011

出　　处：《新疆医学》2015年第7期870-872,共3页Xinjiang Medical Journal

摘　　要：目的探讨宫颈液基细胞学检测及阴道镜检查对于宫颈病变的诊断价值。方法通过机会性筛查对宫颈细胞学异常的534例患者进行阴道镜检查,并与宫颈活组织检查结果进行比较。结果在TCT诊断为不典型鳞状细胞(ASC)的286例患者中宫颈病变的占32.17%(92/286),TCT判读为低度上皮内病变(LSIL)和高度上皮内病变(HSIL)分别105例和134例,与病理诊断结果的符合率分别为51.43%(54/105)及85.82%(115/134),两者比较差异有统计学意义(P<0.05);LSIL,HSIL,宫颈癌阴道镜诊断与宫颈病理学诊断的符合率分别为64.66%(75/116),93.10%(135/145),96.00%(24/25),三者比较差异有统计学意义(P<0.05)。结论联合宫颈液基细胞学检查和阴道镜检查可以明确诊断宫颈病变,降低漏诊率。Objective To explore the diagnostic value of cervix liquid based cytology（TCT）,colposcope examination for cervical diseases. Methods A totle of 534 women with abnormal TCT received the colposcope examination.The test results were compared with the pathological dignosis. Results The cervical deseases accounted for 32.17%（92/286）in the atypical squamous cells（ASC）by TCT.The coincidence rate of TCT and pathological dignosis results was51.43%（54/105） for low- grade squamous intraepithelial lesion（LSIL）and 85.82%（115/134）for high- grade squamous intraepithelial lesion（HSIL）,and the difference was statistically significant（P〈0.05）. The coincidence rate of colposcope and pathological diagnosis was 64.66%（75/116）for LSIL,93.10%（135/145）for HSIL,96.00%（24/25）for cervical cancer,and the difference was statistically significant（P〈0.05） the team the recurrence of tubal pregnancy patients with smoking accounted for 75%, chance is far greater than the non- smokers. Conclusion TCT combined with colposeope can diagnose cervical deseases specibically and cut down the rate of missed diagnosis.

关 键 词：宫颈液基细胞学检查 阴道镜检查 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]