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妇科超薄细胞检测的研究探讨
http://www.100md.com 《中华医药杂志》 2006年第8期
TCT;宫颈癌;,TBS诊断系统,,TCT;,宫颈癌;,TBS诊断系统,1材料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 通过对液基超薄细胞系统(TCT)的16826例标本结果总结、分析、研究,探讨宫颈癌的发病情况。方法 利用妇科液基超薄细胞检测系统(TCT),对妇科子宫颈管刷取的细胞标本进行制片、固定、染色、显微镜检查;根据《子宫颈细胞学Bethesda报告系统》(TBS)判断标准,做出诊断。结果 16826例标本中,发现1例鳞状细胞癌;2例CIN-3;12例CIN-2;391例CIN-1,其中263例为CIN-1HPV感染;滴虫感染197例;霉菌感染388例;细菌感染156例;有炎性反应性细胞改变的14410例;无上皮内病变或恶性瘤变的2001例;8例ASC-US;1例AGUS。结论 宫颈癌前病变的比率相当可观,不典型增生和异型增生的细胞在本质上与原位癌的细胞无差异,是同一疾病过程,在上皮内连续的不同程度的病变,早发现、早治疗,有效降低子宫颈癌的发病率。

    【关键词】 TCT; 宫颈癌; TBS诊断系统

    Gynaecological Chaobo cell detection study

    ZOU Cui-wen,HE Qing,SU Xi-lia,et al.Depart of Tests Section NO.3 Hospital of Zibo City,Shandong Province 255029,China

    【Abstract】 Objective To study and discuss carcinoma of cervix uteri by means of summarization and analysis based on16826 subjects of TCT.Methods To coating samples,fix,dye and microcheck based on the subject of the cell acquired from cervical canal;to diagonosis according to the standards or TBS.Results Among16826 subject cases,1 case of squamous cell caroinoma has been found,2cases of CIN-3,12cases of CIN-2,and391 cases of CIN-1 have been found And among the found cases,there are263 caese of CIN-1 case of HPV infection;197cases of trichomonal infection;388cases of candidal infection,156 cases of bacterial infection .14410cases of inflammatory cell changing;2001 cases of ceriical intraepithelial neoplasia,8cases of ASC-US and1 case of AGUS.Conclusion The rate of cervical intraepithelial neoplasia is very optimistic,the cell of non-typical grouing and the cell of heteromorphism hyperplasaia are not different from the cell of carcinoma in sita They blong to the same process of the disease which is a kind of continuous changing of disease. TO be discovered and treated early is an effeitive way of decreaisng the ratio of carcinoma of cervix uteri. ......

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