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目的:探讨阿勒泰市农村妇女宫颈液基薄片细胞检查配合阴道镜筛查宫颈疾病的诊断价值。方法:对经过宣传动员自愿参加筛查的35～59岁阿勒泰市农村已婚女性进行妇科常规检查、阴道分泌物涂片、宫颈液基薄片细胞学检查、宫颈醋白试验、碘试验、阴道镜检查,结果异常者取宫颈活检送病理学检验,以病理学报告为诊断依据确诊宫颈癌患者。结果:1 046例筛查妇女中100例(研究组)行阴道镜下活检,病理报告显示原位癌1例(1.0%),浸润癌1例(1.0%),高度鳞状上皮内病变3例(3.0%),低度鳞状上皮内病变4例(4.0%);100例(对照组)肉眼观察异常下活检,病理报告显示低度鳞状上皮内病变1例(1.0%),高度鳞状上皮内病变1例(1.0%)。结论:宫颈液基薄片细胞检查配合阴道镜检查能及早发现宫颈癌前病变,是方便、经济、安全、可靠的检查方法,尤其适用于农村妇女宫颈疾病的筛查。
Objective: To investigate the diagnostic value of cervical liquid-based lamellar cell examination combined with colposcopy in the detection of cervical diseases in rural women in Altay. Methods: Routine gynecological examination, vaginal smear, cervical liquid-based cytological examination, cervical and white vinegar test, iodine test, colposcopy Examination, the results were abnormal cervical biopsy sent to pathological examination, the pathology report as the basis for the diagnosis of cervical cancer diagnosis. Results: Colposcopic biopsy was performed in 100 cases (study group) of 1 046 women who screened. The pathological reports showed that in situ carcinoma was 1 (1.0%), invasive carcinoma was 1 (1.0%), highly squamous intraepithelial lesion 3 One case (3.0%) and 4 cases (4.0%) with low grade squamous intraepithelial lesion, the other 100 cases (control group) underwent gross biopsy under naked eye. The pathological reports showed low grade squamous intraepithelial lesion in 1 case (1.0%), Squamous intraepithelial lesion in 1 case (1.0%). Conclusions: Cervical liquid-based lamellar cells combined with colposcopy can detect cervical precancerous lesions early and is a convenient, economical, safe and reliable method for screening cervical lesions in rural women.