宫颈细胞学涂片质量对诊断的影响  

The Quality of Cervical Smear and Diagnostic Impact

作　　者：曹箭[1] 潘秦镜[1] 周彬[1] 刘树范[1] 

机构地区：[1]中国医学科学院中国协和医科大学肿瘤医院,北京100021

出　　处：《中国肿瘤》1999年第8期378-380,共3页China Cancer

摘　　要：［目的］评价宫颈涂片取材质量对诊断的影响。［方法］观察Papnet辅助宫颈细胞学检查15706例取材状况和诊断，分别记录其细胞率＜20％、有血涂片、缺乏宫颈柱状细胞／化生细胞涂片例数。［结果］细胞率＜20％，有血涂片均引起不典型细胞诊断的增加。缺乏宫颈腺细胞和化生细胞明显影响异常上皮细胞（非典型细胞和上皮病变）的检出率。［结论］宫颈涂片质量的好坏明显影响诊断的敏感性和特异性。[Purpose] To assess the influence of cervical smears quality to diagnosis .[Methods] 15706 cervical smears have been diagnosed in our Review Station of Papnet testing system from May 1997 to May 1998. The diagnosis of all smears was made according to TBS. Stain with blood cells, cellular the < 20% and absence of endocervical/transformation zone component were recorded separately. [ Results ]Smears with blood cells,were 5800, cellular rate < 20% was 1560, no component of endocervical/ transformation zone was 3751. Smears with blood cell and cellular rate <20% have a higher atypical cells detecting rate. Detection of abnormal smears were influenced in smears without endocervical and metaplastic cells. [Conclusion ]CCT diagnosis was influenced significantly by specimen quality of cervical smears , include smears with red cell stain, cellular rate <20% and absence of endocervical /metaplastic cells .

关 键 词：宫颈涂片 细胞诊断学 细胞率 宫颈癌 敏感性 

分 类 号：R737.33[医药卫生—肿瘤] R730.43[医药卫生—临床医学]