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目的:对宫颈液基细胞学(TCT)联合阴道镜检查在妇产科宫颈病变,尤其是对宫颈上皮内瘤样病变(CIN)诊断中的意义做出分析。方法:采取TCT联合阴道镜检查对宫颈病变进行筛查和分析。结果:140例行液基细胞学检测的患者中,阳性患者20例,对他们行阴道镜联合病理检查,20例病理显示阳性11例,其中炎症10例,CIN I 2例、CIN II~III 1例,宫颈液及细胞学分级和组织病理学不同级别病变中存在一定的差异,具有统计学意义(P<0.05)。结论:使用宫颈液基细胞学联合阴道镜定位活检提高了诊断的准确率,降低了误诊和漏诊率,减少了宫颈癌的发生,在临床中有着很重要的意义。
Objective: To analyze the significance of cervical liquid-based cytology (TCT) combined with colposcopy in the diagnosis of cervical lesions in obstetrics and gynecology, especially for cervical intraepithelial neoplasia (CIN). Methods: Cervical lesions were screened and analyzed by TCT combined with colposcopy. Results: Of the 140 patients with liquid-based cytology, 20 were positive, and colposcopy and pathology were performed in them. Eleven cases were positive in 20 cases, including 10 cases of inflammation, 2 cases of CIN I, CIN II ~ III 1 case, cervical fluid and cytology grading and histopathological lesions at different levels there is a certain difference, with statistical significance (P <0.05). Conclusion: Cervical liquid-based cytology combined with colposcopy biopsy can improve the accuracy of diagnosis, reduce the misdiagnosis and misdiagnosis rate and reduce the incidence of cervical cancer, which is of clinical importance.