中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
2期
291-292
,共2页
阴道镜检查%锥形切除%宫颈上皮内瘤变%原位癌
陰道鏡檢查%錐形切除%宮頸上皮內瘤變%原位癌
음도경검사%추형절제%궁경상피내류변%원위암
ThinPtep cylology test%Vaginoscopy conization cervical intraepithelial neoplasla%Carcinoma in situ
目的 研究宫颈检查结果与阴道镜活检病理及宫颈锥形切除病理检查间的相关性.方法 采用膜式液基超薄细胞学检测系统(TCT)收集宫颈细胞总计326人次,行阴道镜检查及活检和(或)宫颈锥形切除.描述上述检查结果和病理检查结果之间的关系.结果:326人次的检测中,病理证实为宫颈上皮内瘤变(CIN)Ⅱ～Ⅲ的患者共计70人.病理证实为CINⅢ/原发癌(CIS)的患者共计56人.不同的异常细胞学结果提示CINⅢ/CIS的风险系数(RR)分别为:宫颈不典型鳞状上皮(ASCUS)14.7(95%可信区间8.0～27.0,P=0.00);CIN Ⅰ 13.9(95%可信区间6.3～30.9,P=0.00);CIN ⅡI 44.2(95%可信区间15.5～126.5,P=0.00);CINⅢ 272.2(95%可信区间161.6～458.6,P=0.00).结论 阴道镜检查及活检可以较好地检出TCT异常病例中的CINII～Ⅲ及CIN Ⅲ/CIS组织学类型,其病理结果与宫颈锥形切除病理结果符合.
目的 研究宮頸檢查結果與陰道鏡活檢病理及宮頸錐形切除病理檢查間的相關性.方法 採用膜式液基超薄細胞學檢測繫統(TCT)收集宮頸細胞總計326人次,行陰道鏡檢查及活檢和(或)宮頸錐形切除.描述上述檢查結果和病理檢查結果之間的關繫.結果:326人次的檢測中,病理證實為宮頸上皮內瘤變(CIN)Ⅱ～Ⅲ的患者共計70人.病理證實為CINⅢ/原髮癌(CIS)的患者共計56人.不同的異常細胞學結果提示CINⅢ/CIS的風險繫數(RR)分彆為:宮頸不典型鱗狀上皮(ASCUS)14.7(95%可信區間8.0～27.0,P=0.00);CIN Ⅰ 13.9(95%可信區間6.3～30.9,P=0.00);CIN ⅡI 44.2(95%可信區間15.5～126.5,P=0.00);CINⅢ 272.2(95%可信區間161.6～458.6,P=0.00).結論 陰道鏡檢查及活檢可以較好地檢齣TCT異常病例中的CINII～Ⅲ及CIN Ⅲ/CIS組織學類型,其病理結果與宮頸錐形切除病理結果符閤.
목적 연구궁경검사결과여음도경활검병리급궁경추형절제병리검사간적상관성.방법 채용막식액기초박세포학검측계통(TCT)수집궁경세포총계326인차,행음도경검사급활검화(혹)궁경추형절제.묘술상술검사결과화병리검사결과지간적관계.결과:326인차적검측중,병리증실위궁경상피내류변(CIN)Ⅱ～Ⅲ적환자공계70인.병리증실위CINⅢ/원발암(CIS)적환자공계56인.불동적이상세포학결과제시CINⅢ/CIS적풍험계수(RR)분별위:궁경불전형린상상피(ASCUS)14.7(95%가신구간8.0～27.0,P=0.00);CIN Ⅰ 13.9(95%가신구간6.3～30.9,P=0.00);CIN ⅡI 44.2(95%가신구간15.5～126.5,P=0.00);CINⅢ 272.2(95%가신구간161.6～458.6,P=0.00).결론 음도경검사급활검가이교호지검출TCT이상병례중적CINII～Ⅲ급CIN Ⅲ/CIS조직학류형,기병리결과여궁경추형절제병리결과부합.
Objective To study the relativity of abnormal cervical pathology results in cytology and histology.Methods With retrospective analysis of 326 cases of fluid-based thin-layer method(ThinPtep cytology test,TCT),which reported in the bethesda system,we checked the abnormal results and advised different diagnose biopsy of vaginoscopy and/or conization and got the relativity description of abnormal results in TCT and CIN Ⅲ/CIS,results validated by vaginoscopy match analysis of the CINⅡ～Ⅲand CINⅢ/CIS results validated by vaginoscopy and conization labeled by the age group and relativity analysis of abnormal results in TCT and CIN Ⅲ/CIS iesuitsvalidated by vaginoscopy.Results 326 cases had confimed biopsy results validated by vaginoscopy,of which 70 cases were of CIN 56 cases were of CIN Ⅲ/CIS,the risk ratio(RR)of different abnonmal TCT results in predicting CINⅢ/CIS resuils validated by vaginoscopy is ASCUS group 14.7(95%confidence interval 8.0～27.0,P=0.00);CINI group 13.9(6.3～30.9,P=0 00);CINⅡgroup 44.2(15.5～126.5,P=0.00);CIN Ⅲ group 272.2(161.6～458.6,P=0.00).Conclusion Vaginoscopy examination and biopsy could verify histology abnormity of CINⅡ～CIN Ⅲ and CIN Ⅲ/CIS from abnormal results of TCT and has a good accordance along with biopsy results of conization.
