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目的分析异常宫颈传统细胞学与宫颈活检、年龄及临床诊断的相关性,增强医患双方对宫颈传统细胞学的认识,提高宫颈癌前病变的诊断率。方法回顾性分析13 771例宫颈传统细胞学,了解异常宫颈传统细胞学与宫颈活检、年龄及临床诊断的相关性。结果 13 771例宫颈传统脱落细胞学标本筛出异常者126例,其中ASC43例(34.13%),LSIL41例(32.54%),HSIL37例(29.37%),鳞状细胞癌5例(3.97%)。去除失访原因后,细胞学与病理活检符合率ASC为46.15%,LSIL为87.88%,HSIL为97.06%,鳞癌细胞为100.00%;宫颈传统细胞学结果异常而组织学为炎症患者共19例,其中宫颈鳞化或HPV感染者为14例(73.68%)。各年龄组均有宫颈细胞学异常出现。且20～35岁年龄组发现ASC10例,LSIL9例,HSIL10例,癌细胞1例,总数占异常细胞总量的23.81%。临床诊断与异常脱落细胞关系分析显示,宫颈炎56例(44.44%),宫颈不典型增生术后或宫颈癌术后13例(10.32%),接触性出血6例(4.76%),宫颈癌仅2例(1.59%)。结论宫颈癌前病变的发生有年轻化趋势,且临床症状表现多样。增强医患双方对宫颈传统细胞学的认识可以增加宫颈癌前病变的诊断率。
Objective To analyze the correlation between abnormal cervical traditional cytology and cervical biopsy, age and clinical diagnosis, to enhance the understanding of cervical and traditional cytology between doctors and patients, and to improve the diagnostic rate of cervical precancerous lesions. Methods A retrospective analysis of 13 771 cases of cervical traditional cytology to understand the abnormal cervical traditional cytology and cervical biopsy, age and clinical diagnosis of the correlation. Results Of the 13 771 cervical cytology specimens, 126 were abnormal, including 43 cases of ASC (34.13%), 41 cases of LSIL (32.54%), 37 cases of HSIL (29.37%) and 5 cases of squamous cell carcinoma (3.97%). After removing the reasons for the loss of follow-up, cytology and pathology biopsy coincidence ASC 46.15%, LSIL 87.88%, HSIL 97.06%, squamous cell carcinoma was 100.00%; cervical cytology abnormalities histological inflammation were 19 cases Among them, 14 cases (73.68%) had cervical squamous cell carcinoma or HPV infection. Cervical cytology was abnormal in all age groups. In the age group of 20-35 years, ASC10 cases, LSIL9 cases, HSIL10 cases and cancer cells were found, accounting for 23.81% of the total. Clinical diagnosis and abnormal exfoliated cells in 56 cases (44.44%), cervical dysplasia or cervical cancer in 13 cases (10.32%), contact bleeding in 6 cases (4.76%), cervical cancer only 2 cases (1.59%). Conclusions Cervical precancerous lesions have a tendency of younger tendency, and the clinical symptoms are diverse. Enhance the understanding of traditional cervical cytology of both doctors and patients can increase the diagnostic rate of cervical precancerous lesions.