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目的对VCE三步取材加TBS分类法结合阴道镜诊断并活检在宫颈病变诊断中的应用价值进行评价。方法1064例门诊病人行VCE取材和TBS细胞学分类诊断,对细胞学阳性的病例82例行阴道镜诊断和病理学诊断。结果1064例涂片中检出异常涂片82例,其中ASCUS52例,LSIL23例,HSIL6例,SCC1例,经统计学处理,VCE加TBS方案与阴道镜病理检查的符合率为90.24%;阴道镜诊断和病理学诊断在各级宫颈病变中符合率为95.92%。结论VCE和TBS方案结合阴道镜诊断并活检能有效地诊断CIN和宫颈癌。
Objective To evaluate the value of three-step VCC plus TBS classification combined with colposcopy and biopsy in the diagnosis of cervical lesions. Methods A total of 1064 cases of outpatients underwent VCE and TBS cytodiagnosis, and colposcopy and pathology were performed on 82 cytologically positive cases. Results 82 cases of abnormal smear were detected in 1064 smears, including 52 cases of ASCUS, 23 cases of LSIL, 6 cases of HSIL and 1 case of SCC. The coincidence rate of VCE plus TBS and colposcopy was 90.24% Diagnostic and pathological diagnosis at all levels of cervical lesions in line with the rate of 95.92%. Conclusions VCE and TBS combined with colposcopy and biopsy can effectively diagnose CIN and cervical cancer.