宫颈细胞学漏诊病例分析及质控意义  

Analysis of missed diagnosis cases in cervical cytology and its significance for quality control

作　　者：李洁 张培谊[1] 刘莹莹 宋强强 王玉兰[1] LI Jie;ZHANG Peiyi;LIU Yingying;SONG Qiangqiang;WANG Yulan(Department of Pathology,General Hospital of Xinjiang Military Region,Urumqi,830000,China)

机构地区：[1]新疆军区总医院病理科,新疆乌鲁木齐830000

出　　处：《新疆医学》2025年第3期325-328,共4页Xinjiang Medical Journal

摘　　要：目的提高宫颈癌筛查工作质量和筛查效果。方法对本院2021年宫颈液基细胞学诊断结果的质量控制进行分析。结果宫颈癌筛查病例共9953例,判读为ASCUS共340例(3.40%),ASC-H共17例(0.17%),LSIL共177例(1.78%),HSIL共22例(0.22%),总阳性率5.64%(562/9953);同时进行细胞学与组织学检查共721例,细胞学阴性但组织学为CINⅡ及以上者所占比例为2.68%(13/485),这些为漏诊病例。结论液基细胞学诊断结果受多种因素影响,存在一定的漏诊误诊率,我们必须加强对细胞学的质控,以提高细胞学制片和阅片水平,增加宫颈细胞学辅助检查,提供诊断准确性。Objective To improve the quality and effect of cervical cancer screening.Methods The quality control of cervical cytology diagnosis results in our hospital in 2021 was analyzed.Results A total of 9953 cases of cervical cancer were reviewed,of which 340 cases were diagnosed as ASCUS(3.40%),17 cases belonging to ASC-H(0.17%),177 cases being LSIL(1.78%),and 22 cases were HSIL(0.22%).The total positive rate was 5.64%(562/9953).A total of 721 cases underwent simultaneous cytological and histological examinations,with the proportion of cases that were cytologically negative but histologically classified as CIN II or higher being 2.68%(13/485);these were considered missed diagnoses.Conclusion The diagnostic results of liquid based cytology are affected by many factors,and there is a certain rate of missed diagnosis and misdiagnosis.We must strengthen the quality control of cytology to improve the level of cytology production and reading,and increase the auxiliary examination of cervical cytology to provide diagnostic accuracy.

关 键 词：液基细胞学 漏诊 质量控制 

分 类 号：R737.33[医药卫生—肿瘤]