宫颈液基细胞学检查与宫颈病变临床病理结果分析  

Cervical liquid-based cytology and clinicopathological analysis of cervical lesions

作　　者：赵艳 Zhao Yan(Department of Pathology,Nangang Branch of Heilongjiang Provincial Hospital,Harbin,Heilongjiang 150000,China)

机构地区：[1]黑龙江省医院南岗院区病理科,黑龙江哈尔滨150000

出　　处：《实用妇科内分泌电子杂志》2021年第30期83-85,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 对宫颈液基细胞学检查与宫颈病变临床病理检查结果进行研究。方法 回顾性选择300例体检女性的临床资料,均接受宫颈液基细胞学检查,根据检查结果,对≥非典型鳞状上皮细胞(ASCUS)或≥低度宫颈鳞状上皮内病变(LSIL)的患者进一步开展阴道镜检查并取其宫颈组织进行病理学检查,将病理学检查结果作为诊断宫颈病变的金标准。分析宫颈液基细胞学检查结果与阴道镜检查结果。结果 300例受检者经阴道镜病理检查显示,共有30例炎症、上皮内病变CINⅠ80例、CINⅡ49例、宫颈癌7例;经液基细胞学检测显示,共有80例ASCUS、16例非典型鳞状上皮细胞高度病变(ASC-H)、60例LSIL、44例高度宫颈鳞状上皮内病变(HSIL)。结论 在宫颈病变检查中,宫颈液基细胞学可作为初筛手段,而针对初筛阳性的患者,临床中应提高重视,进一步开展阴道镜病理检查,以提高宫颈病变检出率,为早期介入治疗提供依据,改善患者预后。Objective To study the cervical liquid-based cytology and clinical pathology of cervical lesions.Methods The clinical data of 300 women undergoing physical examination were retrospectively selected.All of them underwent cervical liquidbased cytology.According to the examination results,the patients with≥atypical squamous cells of undetermined significance(ASCUS)or ≥ low-grade squamous intraepithelial lesions(LSIL)were further examined by colposcopy and the cervical tissue was taken for pathological examination,and the pathological examination results were used as the gold standard for the diagnosis of cervical lesions.The results of cervical liquid-based cytology and colposcopy were analyzed.Results Colposcopic pathological examination showed 30 cases of inflammation,80 cases of cervical intraepithelial neoplasia(CIN)Ⅰ,49 cases of CIN Ⅱand 7 cases of cervical cancer;there were 80 cases of ASCUS,16 cases of atypical squamous cells,cannot exclude a high-grade squamous intraepithelial lesion(ASC-H),60 cases of LSIL,and 44 cases of high-grade squamous intraepithelial lesion(HSIL).Conclusion Cervical liquid-based cytology can be used as a preliminary screening method in the examination of cervical lesions.For the patients with positive initial screening,more attention should be paid to further colposcopy pathological examination in clinical practice,so as to improve the detection rate of cervical lesions,provide basis for early interventional treatment,and improve the prognosis of patients.

关 键 词：宫颈病变 宫颈液基细胞学检查 组织病理学 筛查 

分 类 号：R737.33[医药卫生—肿瘤]