液基细胞学检测在宫颈癌早期筛查中的价值(1)
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【摘要】 目的：探讨液基细胞技术在宫颈癌早期筛查中的应用价值。方法：对625例患者行TCT，用TBS诊断方法进行分析，对76例细胞学阳性及临床上高度可疑的50例共计126例患者行阴道镜检查，以评价TCT在临床上的应用价值，同时调查他们的疾病构成及年龄分布特征。结果：TBS诊断ASCUS 40例，AGUS 4例，ASC-H 3例，LSIL 18例，HSIL 7例，SCC 3例，AC 1例。细胞学与阴道镜下活组织病理诊断符合率分别为LSIL 72.22%，HSIL 85.71%，SCC 100%，76例患者中宫颈病变占4.64%，31～40岁的妇女为宫颈病变的最高发年龄段，占46.05%。结论：采用TCT技术对早期发现与治疗宫颈病变及宫颈癌有积极的临床作用。
【关键词】 液基细胞学； 巴氏涂片； TBS诊断； 宫颈病变； 阴道镜活检； 三阶梯诊断程序
Application of Liquid Based Cytology Test on Early Screening of Cervical Precancerous Pathological Changes/SUN Cui-qin，FAN Hong-bin.//Medical Innovation of China，2012，9(31)：077-078
【Abstract】 Objective：To describe the value of Liquid-based cytology test (TCT) on early screening of cervical intraepithelial neoplasia.Method：The behesda system(TBS) was used to analyze the TCT of 625 patients.Colposcopy was performed on 126 cases，including 76 positive patients and 50 clinic highly questionable cases.So that to study the value of TCT in the clinical context and research the age distribution characteristics and clinical features of the patients.Result：According to TBS test，divide into：40 ASCUS，4 AGUS，3 ASC-H，18 LSIL，7 HSIL，3 SCC and 1 AC.The agreement rate of cytology and vaginal microscopically living tissue diagnosis in LSIL，HSIL and SCC each are 72.22%，85.71% and 100%.There are 4.64% cases in the 76 patents were with cervical intraepithelial neoplasia.The study shows that，females 31 to 40 years old are the higher age level of cervical intraepithelial neoplasia，about 46.05%.Conclusion：TCT are useful in early detection and treatment of cervical intraepithelial neoplasia.
【Key words】 Liquid based cytology test； Papanicolaou Smear； TBS diagnosis； Cervical intraepithelial neoplasia； Vaginal mirror biopsy； Three ladder diagnostic procedures ......
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