阴道镜检查联合细胞学及活组织检查在子宫颈癌筛查中的意义
The significance of ThinPrep cytologic test combined colposcopy with biopsy in cervical carcinoma investigation
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摘要: 目的:评价液基薄层细胞学检查(thinprep cytologic test,TCT)联合阴道镜及活组织检查在子宫颈癌筛查中的应用价值。方法:采用阴道镜、细胞学与活组织检查相结合的方法,对子宫颈病变进行诊断,以组织病理学诊断为标准,对结果进行分析。结果:164例在子宫颈TCT涂片中发现,未明确诊断意义的不典型鳞状细胞、低级别鳞状上皮内病变、高级别鳞状上皮内病变和良性反应性改变中有少量细胞增生者,在阴道镜指引下行子宫颈活检,炎症64例,子宫颈上皮内瘤变1(CIN1)38例,CIN2 19例,CIN3 37例,早期浸润癌6例。结论:阴道镜联合细胞学及活组织检查能及早发现癌前病变和子宫颈癌。Abstract: Objective: To evaluate the application of thinprep cytologic test(TCT) combined colposcopy with biopsy in cervical carcinoma investigation.Methods: To applicate the methods which TCT combined colposcope with biopsy in cervical lesion diagnosis,and analysis the results by pathological diagnosis.Results: One hundred and sixty-four cases were detected as atypical squamous cell of undetermined significance(ASCUS),low-grade squamous intraepithelial lesion(LSIL),high-grade squamous intraepithelial lesion(HSIL) and benign changes with a bit cell hyperplasia in TCT,and these cases were biopsied under colposcope.Sixty-four cases were detected accompanied with inflammation,the positive rate was 39.0%;38 cases were detected with CIN1;19 cases were detected with CIN2;37 cases were detected with CIN3;6 cases were detected with the forepart of soakage carcinoma.Conclusions: The examination of TCT combined colposcope with pathological biopsy is as soon as possible in detecting the cervical procarcinoma and carcinoma.