2250例液基薄层细胞学宫颈癌筛查结果及实践意义  

Results And Practical Significance of Screening 2 250 Cases of Cervical Cancer by ThinPrep Cytologic Test

作　　者：李日艳 何清云 张淑芹 黄永真[2] 杨云[2] LI Ri-yan;HE Qing-yun;ZHANG Shu-qin;HUANG Yong-zhen;YANG Yun(Maternal and Child Health Hospital of Tonggu County,Tonggu,Jiangxi 336200;Medical College/Institute of Preventive Medicine of Yichun University,Yichun,Jiangxi 336000)

机构地区：[1]铜鼓县妇幼保健院,江西铜鼓336200 [2]宜春学院医学院/预防医学研究所,江西宜春336000

出　　处：《赣南医学院学报》2019年第3期246-249,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨宫颈癌在当地的流行病学规律和宫颈液基薄层细胞学(Thin Prep Cytologic Test,TCT)筛查的实践效果。方法:问卷调查获得参与筛查妇女的基本资料,宫颈细胞采样后以TCT为筛查方法,以TBS(The Bethesda System,TBS 2004)报告系统,分析年龄别TCT阳性检出率,以病理学诊断为金标准,评价TCT的符合率。结果:参与筛查的妇女平均年龄为43. 73岁; TCT阳性检出率为3. 82%(86/2 250),其中ASC-US 51例,ASC-H 4例,LSIL 27例,HSIL 4例;病理学诊断阳性率为0. 53%(12/2 250),其中CIN1 6例,CIN2 3例,CIN3 2例,原位癌1例。结论:仅以TCT为宫颈癌筛查方法可以有效地检出宫颈癌的早期患者,初筛与复筛人群的不同对筛查效果的影响也值得进一步探讨。Objective:To explore the local epidemiology of cervical cancer and the practical effect of ThinPrep Cytologic Test(TCT)screening.Methods:A questionnaire survey was conducted to obtain the basic data of women involved in screening.After cervical cell sampling,TCT was used as the screening method,and TBS(The Bethesda System,TBS 2004)reporting system was used to analyze the positive detection rate of TCT in age groups,and pathological diagnosis was used as the gold standard to evaluate the coincidence rate of TCT.Results:The average age of women participating in screening was 43.73 years old.The positive rate of TCT was 3.82%(86/2 250),including 51 ASC-US,4 ASC-H,27 LSIL and 4 HSIL.The positive rate of pathological diagnosis was 0.53%(12/2 250),including 16 CIN1,23 CIN2,32 CIN3,1 carcinoma in situ.Conclusions:TCT alone can effectively detect early cervical cancer patients,and the influence of different screening groups on the screening effect is also worth further discussion.

关 键 词：液基薄层细胞学 宫颈癌 筛查 病理学诊断 细胞学诊断 

分 类 号：R73-31[医药卫生—肿瘤]