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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。结果液基细胞学检查共检出阳性或可疑阳性涂片195例,占12.3%,其中不典型鳞状上皮细胞(ASCUS)70例(占4.4%),低度鳞状上皮内低度病变(LSIL)92例(占5.8%),高度鳞状上皮内病变(HSIL)32例(占2.0%),鳞状细胞癌(SCC)1例(占0.1%);低度鳞状上皮内低度病变(LSIL)98例(占6.2%),高度鳞状上皮内病变(HSIL)31例(占1.9%),鳞状细胞癌(SCC)1例(占0.1%)。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, and colposcopy and microscopic biopsy were performed on cytology screening for abnormal results. Results A total of 195 positive or suspicious positive smears were detected in liquid-based cytology, accounting for 12.3%, including 70 cases of atypical squamous cells (ASCUS) (4.4%), low-grade low-grade squamous intraepithelial lesion LSIL), 92 cases (5.8%), high grade squamous intraepithelial lesion (HSIL) in 32 cases (2.0%) and squamous cell carcinoma (SCC) in 1 case (LSIL) 98 (6.2%), high grade squamous intraepithelial lesions (HSIL) 31 (1.9%) and squamous cell carcinoma (SCC) 1 (0.1%). Conclusion TCT assisted colposcopy can effectively improve the detection rate of cervical precancerous lesions and cancer, for the timely detection of precancerous lesions, prevention and treatment of cervical cancer is of great significance.