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目的:研究分析宫颈病变三阶梯式诊断技术在宫颈病变诊断的作用。方法:根据2012至2013年我院的240例宫颈病变患者进行研究分析,为患者提供宫颈液基细胞学检查(即TCT),对其中出现阳性的病例22名再次使用阴道镜检。结果:此次研究共对240例患者进行了宫颈液基细胞学检查,一共出现了22例阳性患者,阳性检出率为9.17%。这22例患者中有11例是LSIL,7例HSIL,2例鳞状细胞癌,2例腺癌。为这些患者提供阴道镜检后,16例图像异常,6例正常,在图像异常的患者中共有14例CIN患者被检出,图像正常的患者中有2例CIN被检出,差异性明显。临床结果显示,CIN发病患者年龄集中于32到42岁之间,宫颈癌则是在43到53岁之间。结论:临床中宫颈病变三阶梯式诊断是对经宫颈液基细胞检查阳性者再次进行细胞学、阴道镜、组织学三个阶梯诊断的方式进行诊断,逐一的确定患者的宫颈病变情况,具有较大的诊出率,避免了漏诊的情况,所以临床应用价值非常高。
OBJECTIVE: To study the role of three-tiered diagnosis of cervical lesions in the diagnosis of cervical lesions. Methods: According to the analysis of 240 cases of cervical lesions from 2012 to 2013 in our hospital, cervical cytology-based cytology (TCT) was applied to the patients. Twenty-two of the 22 positive cases were re-used colposcopy. RESULTS: A total of 240 patients underwent cervical liquid-based cytology. A total of 22 positive patients were present, with a positive rate of 9.17%. Eleven of the 22 patients were LSIL, seven HSIL, two squamous cell carcinomas and two adenocarcinomas. After colposcopy was provided for these patients, 16 were abnormal and 6 were normal. A total of 14 CIN patients were detected in patients with abnormal images. Two of the patients with normal images were detected with a significant difference. Clinical results show that the incidence of CIN patients aged 32 to 42 years of age, cervical cancer is between 43 to 53 years old. Conclusions: Three-step diagnosis of cervical lesions in clinical diagnosis of cervical cytology based on cytology, colposcopy, histology three ladder diagnosis of diagnosis, one by one to determine the patient’s cervical lesions, with more than Large diagnostic rate, to avoid missed diagnosis, so the clinical value is very high.