新型快速病理诊断技术在基层医院宫颈病变检查中的应用  

Clinical value of new rapid pathological diagnosis technique in the examination of cervical lesions in primary medical institution

作　　者：王磊[1] 丁艳 高蓉 阮桂梅 万晓洁 唐嘉阅 杨家佳[1] 丁志燕[1] 郁林 Wang Lei;Ding Yan;Gao Rong;Ruan Guimei;Wan Xiaojie;Tang Jiayue;Yang Jiajia;Ding Zhiyan;Yu Lin(Department of Pathology, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225009, China;Department of Obstetrics and Gynecology, the Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225009, China;Department of Maternal Health, Maternal and Child Health Center of Hanjiang District, Yangzhou, Jiangsu 225009, China;Department of Gynecology, Tangwang Community Health Service Center of Guangling District, Yangzhou, Jiangsu 225009, China)

机构地区：[1]扬州大学附属医院病理科,225009 [2]扬州大学附属医院妇产科,225009 [3]扬州市邗江区妇幼保健所妇保科,225009 [4]扬州市广陵区汤汪社区卫生服务中心,225000

出　　处：《中国基层医药》2019年第9期1065-1069,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨新型快速病理诊断技术在基层医院宫颈病变检查中的应用价值。方法选择25例宫颈刮片和22例宫颈活检受检者,25例宫颈刮片受检者于操作时刮涂两张,分别运用常规病理技术与新型快速病理诊断技术诊断后比较两者结果;22例宫颈活检受检者在活检操作中运用新型快速病理诊断技术对活检组织滚片进行细胞学初诊,依据快速病理诊断结果调整活检操作方案,分析新型快速病理诊断技术在基层宫颈病变检查中的临床应用价值。结果新型快速病理诊断技术开展所需空间小,无污染,诊断耗时约2~3 min,不影响正常检查操作。25例宫颈刮片经新型快速病理诊断技术处理与常规病理技术处理的宫颈刮片质量一致,能够满足病理细胞学诊断的需求;22例经扩阴器下宫颈活检在该技术的协助下均达到活检要求,提高了首次活检阳性检出率。结论新型快速病理诊断技术可对宫颈刮片实时病理诊断,提高宫颈活检的首次活检阳性检出率,且成本低,适宜在基层医院推广。Objective To explore the clinical value of new rapid pathological diagnosis technology in the examination of cervical lesions in primary medical institution. Methods In the Affiliated Hospital of Yangzhou University, 25 cases of cervical scraping and 22 cases of cervical biopsy were selected.Twenty-five cases of cervical scraping scraped two wipers during operation, the results were compared with conventional pathological techniques and new rapid pathological diagnosis techniques.Twenty-two cases of cervical biopsy used a new rapid pathological diagnosis technique to perform cytological diagnosis of biopsy tissue rolls in biopsy operation.According to the results of rapid pathological diagnosis, the biopsy operation plan was adjusted to analyze the clinical value of the new rapid pathological diagnosis technique in cervical lesions in primary medical institution. Results The new rapid pathological diagnosis technology required less space and no pollution, and the diagnosis took about 2-3 min, which did not affect the normal inspection operation.Twenty-five cases of cervical scraping were produced with new rapid pathological diagnosis technique, and the quality of cervical scraping produced with conventional pathological technique was consistent, which could satisfy the needs of pathological cytological diagnosis;twenty-two cases of cervical biopsy under the vaginal device were assisted by this technology and it could increase the positive rate of the first biopsy. Conclusion Cervical scraping and cervical biopsy are still the main methods for cervical lesions examination in primary hospitals.The new rapid pathological diagnosis technology can provide the real-time pathological diagnosis of cervical scraping, improve the positive detection rate of the first biopsy of cervical biopsy, and the cost is low, suitable for promotion in primary medical institution.

关 键 词：宫颈疾病 病理学 临床 活组织检查 针吸 病理染色方法 实时 基层 阳性率 

分 类 号：R711.74[医药卫生—妇产科学]