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目的通过宫颈液基细胞学检查结合阴道镜检查筛查宫颈病变的比率对目前临床各种筛查宫颈癌的检查方法作临床探讨。方法先行宫颈液基细胞学检查,对宫颈液基细胞学检测出上皮细胞异常者进一步行醋酸白试验、碘试验、阴道镜检查及宫颈活检,并送病理,以病理诊断为金标准。结果 2 836例宫颈TCT检查患者中,检出上皮细胞异常者共102例,其中慢性宫颈炎伴上皮细胞轻度增生者共30例,宫颈上皮内瘤样病变者57例(其中原位癌6例),浸润癌15例。结论细胞学检查结合阴道镜活检对早期发现、早期诊断、早期治疗宫颈病变、降低宫颈癌发病率及病死率具有非常重要的价值。
Objective To investigate the clinical application of cervical liquid-based cytology combined with colposcopy in the screening of cervical lesions. Methods Cervical liquid-based cytology, Cervical liquid-based cytology to detect abnormal epithelial cells were further acetic acid white test, iodine test, colposcopy and cervical biopsy, and sent to pathology, pathological diagnosis as the gold standard. Results Among 2 836 cervical TCT patients, there were 102 cases with abnormal epithelial cells detected, among which 30 cases were chronic cervicitis with mild hyperplasia of epithelial cells and 57 cases were cervical intraepithelial neoplasia (including carcinoma in situ 6 Cases), invasive carcinoma in 15 cases. Conclusion Cytology combined with colposcopy biopsy for early detection, early diagnosis, early treatment of cervical lesions, reduce the incidence of cervical cancer and mortality has a very important value.