论文部分内容阅读
目的:探讨液基细胞学检测(TCT)和电子阴道镜在子宫颈病变筛查中的诊断价值。方法:采用TCT对宫颈涂片进行宫颈病变筛查,对其中细胞学筛查为异常结果的进行阴道镜检查及镜下活组织病理检查。结果:TCT检查2066例中,细胞学阳性112例,占5.42%。其中意义不明确的不典型鳞状上皮细胞(ASCUS)61例(2.95%),低度鳞状上皮内病变(LSIL)36例(1.74%),高度鳞状上皮内病变(HSIL)15例(0.73%);阴道镜检查及镜下活组织病理检查发现异常阴道镜图像88例(78.57%)。与病理组织学对照,ASCUS(CINⅠ32例、CINⅡ8例、CINⅢ2例);LSIL(CINⅠ23例、CINⅡ7例、CINⅢ2例、SCC1例);HSIL(CINⅡ5例、CINⅢ7例、SCC1例)。结论:TCT技术辅助阴道镜检查可以有效提高宫颈癌前病变和癌变的检出率,对于及时发现癌前病变、防治宫颈癌具有重要意义。
Objective: To investigate the diagnostic value of liquid-based cytology (TCT) and electronic colposcopy in the screening of cervical lesions. Methods: Cervical smears were screened for cervical lesions by TCT. Colposcopy and microscopic biopsy were performed on cytology screening for abnormal results. Results: Of the 2066 TCT cases, 112 were cytologically positive, accounting for 5.42%. Among them, 61 cases (2.95%) of atypical squamous epithelium (ASCUS) of unknown significance, 36 cases (1.74%) of low grade squamous intraepithelial lesion (LSIL) and 15 cases of high grade squamous intraepithelial lesion 0.73%). Colposcopy and microscopic biopsy showed abnormal colposcopy images in 88 cases (78.57%). Compared with histopathology, ASCUS (CINⅠ32 cases, CINⅡ8 cases, CINⅢ2 cases); LSIL (CINⅠ23 cases, CINⅡ7 cases, CINⅢ cases SCC1 cases); HSIL (CINⅡ7 cases, CINⅢ7 cases, SCC1 cases). Conclusion: Colposcopy assisted by colposcopy can effectively improve the detection rate of cervical precancerous lesions and canceration, which is of great significance for timely detection of precancerous lesions and prevention and treatment of cervical cancer.