液基细胞学联合阴道镜检查对5268例宫颈病变的诊断分析  

Diagnosis and analysis of 5 268 cases of cervical lesions by liquid based cytology combined with colposcopy

作　　者：朱兆霞[1] 孙颖慧[1] 辛英[1] Zhu Zhaoxia;Sun Yinghui;Xin Ying(The Eighty-eighth Hospital of People's Liberation Army of Tai'an,Shandong 271000)

机构地区：[1]山东泰安解放军第88医院,271000

出　　处：《中国社区医师》2016年第20期111-112,114,共3页Chinese Community Doctors

摘　　要：目的：探讨液基薄层细胞学(TCT)技术联合阴道镜检查对宫颈病变的诊断效果。方法：分析TCT结果5268例，并分析阳性者年龄分布特征。结果：5268例妇女中异常细胞学检查结果300例(5.69%)，85例经阴道镜多点活检，检出率1.6%。不同年龄段的筛查，以36～45岁为高发年龄，各年龄组比较，差异有统计学意义(P＜0.05)；TCT检测与病理组织学检查比对检出符合率高，且病理级别越高，符合率越高。ASC-H符合率66.67%、LSIL符合率87.50%，HSIL、SCC的符合率100%，经统计学分析，差异有统计学意义(P＜0.05)。结论：宫颈癌近年来有年轻化趋势，TCT联合阴道镜检出准确率较高，误诊率低，操作简便。Objective:To investigate the effect of liquid based cytology test(TCT)technique combined with vaginal cytology in the diagnosis of cervical lesions.Methods:We analyzed the TCT results in 5 268 cases,and the age distribution characteristics of the positive were analyzed.Results:There were 300 cases(5.69% )of abnormal cytology in 5 268 women,85 cases with multiple colposcopic biopsy,and the detection rate was 1.6% .Screening of different ages,taking 36 to 45 years old as the age of high incidence,and there were significant differences among different age groups(P<0.05).TCT examination combined with histopathological examination had a high detection coincidence rate.And the higher the level of pathology,the higher the compliance rate.The coincidence rate of ASC-H was 66.67% and LSIL was 87.50%,the coincidence rate of SCC and HSIL was100% ,which had a significant difference(P<0.05).Conclusion:There is a younger trend of cervical cancer in recent years.The detection accuracy of TCT combined with vaginal cytology is higher.The misdiagnosis rate is low,and the operation is simple.

关 键 词：液基细胞学 阴道镜 TBS系统 宫颈病变 

分 类 号：R737.33[医药卫生—肿瘤]