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目的:研究巴氏涂片与TCT技术在宫颈病变筛查的优劣。方法:比较1 365例巴氏涂片检查和1470例TCT技术检查的宫颈细胞学筛查结果。结果:TCT组涂片质量的满意度为97.62%明显优于巴氏涂片的82.05%,而阳性检出率为83.3%,远远高于巴氏涂片的53.8%(P<0.05),而且其和病理组织活检的结果更吻合。结论:TCT技术能够显著提高不同程度异型性细胞的检出率,避免误诊和漏诊,具有较高的敏感度和正确率,值得在临床推广应用。
Objective: To study the advantages and disadvantages of Pap smear and TCT in cervical lesions screening. METHODS: Cervical cytology screening was compared between 1 365 Pap smears and 1470 TCT techniques. Results: The smear quality of TCT group was 97.62%, which was significantly better than Pap smear 82.05%, while the positive rate was 83.3%, much higher than that of Pap smear 53.8% (P <0.05) And it is more consistent with the result of pathological biopsy. Conclusion: TCT can significantly improve the detection rate of atypical cells in different degrees, avoid misdiagnosis and missed diagnosis, and has high sensitivity and correct rate, which is worthy of clinical application.