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目的探讨宫颈液基薄层细胞学检查(TCT)在妇科疾病筛查中的应用价值。方法对1 037例TCT检查阳性者进行阴道镜下多点活检,以病理学诊断为金标准,对细胞学结果与活检结果进行比较。结果鳞状上皮内低度病变诊断符合率81.5%;鳞状上皮内高度病变诊断符合率91.5%。TCT结果与病理组织学有相关性,细胞学检测病变程度越高,其病理检查符合率也越高,结论:TCT检查是一种有效的宫颈病变筛查方法,细胞学检查阳性者应进一步行阴道镜病理组织学检查以确诊。
Objective To investigate the value of cervical cytology-based cytology (TCT) in the screening of gynecological diseases. Methods One hundred and thirty-three patients with positive TCT examination underwent colposcopy biopsy, the pathological diagnosis was the gold standard, and the cytology results were compared with the biopsy results. Results The diagnostic accuracy rate of intrasquamous intraepithelial lesion was 81.5%. The coincidence rate of intrasquamous intraepithelial lesion was 91.5%. TCT results and histopathological correlation, the higher the degree of cytological detection of lesions, the higher the coincidence rate of the pathological examination, Conclusion: TCT is an effective screening for cervical lesions, cytology should be further positive line Colposcopy pathological examination to confirm.