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目的通过对比巴氏涂片宫颈癌筛查结果与病理诊断检查结果评价宫颈涂片在宫颈癌筛查中的应用价值。方法回顾性分析2012年3月至2016年3月3218名宫颈癌筛查中检出的251例检查结果无明确意义非典型鳞状细胞及以上患者基本临床资料,所有患者均采用巴氏涂片法诊断,以病理学诊断结果作为诊断依据,将本组患者巴氏涂片诊断结果与病理诊断结果作以比较。结果巴氏涂片诊断方法检出251例鳞状上皮异常,129例(51.4%)非典型鳞状上皮细胞异常(ASC),43.8%(110/251)为明确意义ASC-US;7.6%(19/251)不除外高度上皮内病变非典型鳞状细胞;20.3%(51/251)为低度鳞状上皮病变;28.3%(71/251)为高度鳞状上皮内病变。结论宫颈涂片是筛查早期宫颈癌的主要方法,宫颈涂片检查法具有良好敏感性,既经济实惠又简便实用,是基层医院与大规模宫颈癌筛查的最佳手段。
Objective To evaluate the value of cervical smears in cervical cancer screening by comparing Pap smear cervical cancer screening results with pathological diagnostic test results. Methods Retrospective analysis from March 2012 to March 2016 3218 cervical cancer screening in the detection of 251 cases without clear significance of atypical squamous cell and the above basic clinical data, all patients were treated with Pap smear France diagnosis, pathological diagnosis as a diagnostic basis, the group of patients Pap smear diagnosis results and pathological diagnosis for comparison. Results There were 251 cases of squamous epithelial abnormalities and 129 cases (51.4%) of atypical squamous cell abnormalities (ASC) detected by Pap smear diagnosis method. 43.8% (110/251) were ASC-US; 7.6% 19/251) showed no significant difference in the number of atypical squamous intraepithelial lesions; 20.3% (51/251) had low grade squamous cell lesions; and 28.3% (71/251) were highly squamous intraepithelial lesion. Conclusions Cervical smear is the main method of screening early cervical cancer. Cervical smear test has good sensitivity, which is both economical and practical. It is the best way to screen primary hospitals and large-scale cervical cancer.