【摘要】 目的 根据宫颈癌前病变是正常细胞向癌变细胞的过渡阶段的特点，分析AICM和病理检查的临床资料，探讨AICM妇科普查中对宫颈癌和癌前病变诊断标准，提出危度预报概念和统计危度预报值。 方法 从AICM所作的970例妇科普查资料中，分析83例有异倍体细胞。DNA指数(DI)的分布特点，根据异倍体细胞的DI多少提出标准。 结果 标准1能较好预报宫颈癌的情况，标准2、4、6属于CINⅠ～Ⅲ高危情况，也不排除宫颈癌和炎性的可能。标准3、5则偏向于炎性。 结论 对年龄在25～45岁的妇女应重视宫颈癌和癌前病变的普查。

    【关键词】 宫颈癌 CIN AICM 早期诊断 危度预报

    The risk prediction of cancerous and precancerous cervical lesions of uterus by AICM

    Lu Junsheng，Zhu Xiangfen

    12th Hospital of Wuhan，Wuhan430074.

    【Abstract】 Objective To detect cancerous and precancerous cervical lesions，automatic image cytometer(AICM)was used in cervical screening.Methods A total of970women participated in this study.Aneuploid cells were found in cervical smears by AMICM and cervical pathology diagnosis were performed in biopsy specimens in83cases out of this population.Results In83cases，6types of diagnosis were summarized according to distributions of aneuploid cells detected by AMIC.Type1:a lot of aneuploid cells exceeded5C(DNA index>2.5).Type2:except of few aneuploid cells exceeding DI2.5 ......