论文部分内容阅读
目的:探讨宫颈液基细胞学(TCT)检查对宫颈病变早期筛查的应用价值。方法:将做TCT检查的3 751例病例采用TBS诊断报告系统进行诊断,对不明确的非典型鳞状细胞(ASC-US)以上患者进行统计,并同时对部分病例进行组织学对比印证。结果:ASC-US 165例占4.40%,ASC-H 37例占0.99%,LSIL 49例占1.31%,HSIL 15例占0.40%,AGC 9例占0.24%,SCC 2例占0.05%。对67例细胞学异常病例进行了组织学检查,TCT检出明确诊断HSIL和SCC 12例,其中11例与组织学检查相符合,两者的符合率为91.67%(11/12)。结论:TCT检查可有效的应用于宫颈癌的早期筛查,它可提高异常细胞的检出率。
Objective: To investigate the value of cervical cytology-based cytology (TCT) in the early screening of cervical lesions. Methods: A total of 3 751 TCT cases were diagnosed by using the TBS diagnostic reporting system. Statistics were made on patients with atypical squamous cells (ASC-US) who were not definite. At the same time, some cases were confirmed by histological comparison. Results: ASC-US 165 cases accounted for 4.40%, ASC-H 37 cases accounted for 0.99%, LSIL 49 cases accounted for 1.31%, HSIL 15 cases accounted for 0.40%, AGC 9 cases accounted for 0.24% SCC 2 cases accounted for 0.05%. Sixty-seven cases of cytological abnormalities were examined by histology. Twelve cases of HSIL and SCC were confirmed by TCT, of which 11 cases were consistent with histological examination. The coincidence rate was 91.67% (11/12). Conclusion: TCT can be effectively used in early screening of cervical cancer, which can improve the detection rate of abnormal cells.