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目的:推广TBS描述性诊断方法在临床的应用,及在诊断女性生殖道非肿瘤性疾病及早期宫颈癌方面的临床意义。方法:应用巴氏染色法染色,采用TBS描述性诊断方法进行报告。结果:8 136人次宫颈/阴道涂片除有129人次取材不满意,TBS无法诊断外,其余8 007人次均采用TBS描述性诊断方法进行报告,结果在正常范围1 808人次,占22.6%;感染1 628人次,占20.3%;反应性细胞改变3 469人次,占43.3%;鳞状上皮细胞异常816人次,占10.2%;鳞状上皮细胞癌86人次,占1.1%;腺上皮细胞异常180人次,占2.2%;腺癌19人次,占0.2%;肉瘤1人次,占0.01%。结论:TBS描述性诊断方法报告的内容丰富,能为临床提供引起上皮细胞变化的具体原因和依据,给临床医生的诊断、治疗带来了极大的方便,更便于国内、国际间的交流,使临床医生能够更好地进行有针对性和有目的性的跟踪随访,达到对宫颈癌及癌前病变患者的早期发现、早期诊断、早期治疗的目的,并且达到治愈,更大幅度地降低女性宫颈癌的死亡率意义重大。
Objective: To promote the clinical application of TBS descriptive diagnostic methods and clinical significance in the diagnosis of female genital tract non-neoplastic diseases and early cervical cancer. Methods: Staining by Papanicolaou staining and descriptive diagnosis by TBS were reported. RESULTS: Totally 8,137 cervical and vaginal smears were not satisfactory for TES and 129 were TBS-free. The remaining 8 007 were reported by TBS descriptive diagnostic method, with a mean of 1,808 in the normal range, accounting for 22.6%. Infection 1 628 person-times, accounting for 20.3%, 3 469 person-times of reactive cell change, accounting for 43.3%, 816 person-times of squamous cell abnormality, accounting for 10.2%, 86 person-times of squamous cell cancer accounting for 1.1%, 180 glandular epithelial cell abnormality , Accounting for 2.2%; adenocarcinoma 19 people, accounting for 0.2%; sarcoma 1 person, accounting for 0.01%. Conclusion: The informative report of TBS descriptive diagnosis method can provide specific reasons and basis for clinical change of epithelial cells, which brings great convenience to clinicians in diagnosis and treatment, facilitates the exchange between domestic and international, So that clinicians can better targeted and purposeful follow-up to achieve the purpose of early detection, early diagnosis, early treatment of cervical cancer and precancerous lesions, and to achieve a more substantial reduction in women Cervical cancer mortality is of great significance.