首页|6000例宫颈液基细胞学检查的病理分析

6000例宫颈液基细胞学检查的病理分析

Pathological Analysis on 6000 Cases of Cervical Thinprep Cytological Test

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目的:通过将液基细胞学(TCT)检查与传统巴氏涂片检查对妇科宫颈癌癌前病变的检出率、标本满意度及活检阳性符合率进行对比,探讨TCT在妇科宫颈病变筛查中的应用价值。方法:对任丘地区6000例已婚妇女应用液基细胞学检查结果进行分析,并回顾2008-2010年5000例应用传统巴氏涂片的妇科检查结果,二者对比,并对细胞学检查阳性病例行宫颈活检对照。结果:TCT组宫颈活检CINI 69例,CINII 16例,CINIII 42例,标本满意度和宫颈癌癌前病变的检出率分别是96.02%和2.11%,活检阳性符合率为62.56%;对照组宫颈活检CINI 23例,CINII 5例,CINIII 9例,标本满意度和宫颈癌癌前病变检出率分别是62.7%和0.62%,活检阳性符合率为38.54%。结论:TCT组在标本满意度、宫颈癌癌前病变检出率及活检阳性符合率均明显高于对照组,液基细胞学可提高早期宫颈病变的诊断率,降低宫颈癌的发病率,促进妇女生殖健康。
Objective:Compare detection rate of cervical cancer lession precancerous 、degree of satisfaction of the examples and coincidence of biopsy masccline by liquid-based cytology test and traditional Bethesda smeara.To explore apply value of liquid-based cytology test in the screening of cervical cancer .Methods:Analyse resultes of liquid-based cytology test of six thousands married women in Ren Qiu area.Review resultes of traditional Bethesda smeara of five thousands women from 2008-2010.Compare the two.And compare cervical biopsy of masccline cases.Results:TCT cervical biopsy CINI 69 cases、CINII 16 cases、CINIII 42 cases. detection rate of cervical cancer lession precancerous 、degree of satisfaction of examples and the coincidence of biopsy masccline are 96.02%、2.11%、62.56%.Control group cervical biopsy CINI 23 cases、CINII 5 cases、CINIII 9 cases. detection rate of cervical cancer lession precancerous 、degree of satisfaction of the examples and coincidence of biopsy masccline are 62.7%、0.62%、38.54%.Conclusion:liquid-based cytology test is bet er than traditional Bethesda smeara in the above three indexes. It can improve diagnosis rate of prophase cervix lesion、reduce incidence rate of cervical cancer and promote woman reproductive health.

liquid-based cytology testtraditional Bethesda smearaTBS system

郝彤、李晓敏、马潇潇、刘学伟、何金萍、刘晓燕

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华北油田公司总医院 病理科 河北 任丘 062552

华北油田公司总医院 妇产科 河北 任丘 062552

华北油田公司总医院 口腔科 河北 任丘 062552

液基细胞学检查 巴氏脱落细胞学涂片 TBS系统

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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