宫颈液基细胞学检查与宫颈病变临床病理分析  

Cervical liquid-based cytology and clinicopathological analysis of cervical lesions

作　　者：冯嘉伟 Feng Jiawei(Department of Pathology,Taizhou Obstetrics and Gynecology Hospital,Taizhou 225300,China)

机构地区：[1]泰州妇产医院病理科,江苏泰州225300

出　　处：《实用妇科内分泌电子杂志》2024年第6期79-81,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究宫颈液基细胞学检查与宫颈病变临床病理检查结果。方法选取于本院进行体检的女性150例为研究对象,均接受宫颈液基细胞学检查。按照结果,为大于等于非典型鳞状上皮细胞(ASCUS)或大于等于低度宫颈鳞状上皮内病变(LSIL)者进行阴道镜检查,并采集其宫颈病灶组织进行病理检查,将病理检查结果作为宫颈病变的诊断依据。分析宫颈液基细胞学检查和阴道镜病理检查的结果。结果150例女性中,液基细胞学检查结果显示,共有ASCUS40例、非典型鳞状上皮细胞高度病变(ASC-H)8例、LSIL30例、高度宫颈鳞状上皮内病变(HSIL)22例;阴道镜病理检查结果显示,有低级别上皮内病变(CINⅠ)40例、高级别上皮内病变(CINⅡ、CINⅢ)41例,宫颈癌4例。结论宫颈液基细胞学检查可用于初步筛查宫颈病变,但对于初筛为阳性者,还需进行阴道镜病理检查,以提升病灶检出率,为后续治疗提供帮助。Objective To study the results of cervical liquid-based cytology and clinicopathological examination of cervical lesions.Methods 150 women who underwent physical examination in the hospital were selected as the study subjects,all of whom underwent cervical liquid-based cytology.According to the results,colposcopy was performed for patients with atypical squamous cells of undetermined significance(ASCUS)or low-grade cervical squamous intraepithelial lesions(LSIL),and the cervical lesion tissues were collected for pathological examination,and the pathological examination results were used as the basis for diagnosis of cervical lesions.The results of cervical liquid-based cytology and colposcopic pathological were analyzed.ResultsAmong the 150 females,there were 40 cases of ASCUS,8 cases of atypical squamous cell hyperplasia(ASC-H),30 cases of LSIL,and 22 cases of high-grade cervical squamous cell hyperplasia(HSIL).Colposcopic pathological examination showed that there were 40 cases of low-grade intraepithelial lesions(CINⅠ),41 cases of high-grade intraepithelial lesions(CINⅡ,CINⅢ),and 4 cases of cervical cancer.Conclusion Cervical liquid-based cytology can be used for preliminary screening of cervical lesions,but for those who are positive in the initial screening,colposcopic pathological examination is also required,in order to improve the detection rate of lesions and provide help for subsequent treatment.

关 键 词：宫颈液基细胞学检查 宫颈病变 阴道镜活检 组织病理学 

分 类 号：R711.74[医药卫生—妇产科学]