国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
24期
3007-3009
,共3页
宫颈癌%宫颈上皮内瘤变%液基细胞学%阴道镜%普查
宮頸癌%宮頸上皮內瘤變%液基細胞學%陰道鏡%普查
궁경암%궁경상피내류변%액기세포학%음도경%보사
Cervical cancer%Cervical intraepithelial neopla.sia%Thin Prep cell test: Colposcope%Screening
目的 评价液基细胞学(TCT)及阴道镜检查联合应用于宫颈癌筛查的价值,探索一种适合我区经济水平的高效简捷的宫颈癌及癌前病变的筛查方法.方法 2008年1月-2010年12月经我院普查的新会区已婚妇女18 601人,随机分为两组,其中A组11 104人行宫颈TCT检查及阴道镜活检,B组7497人进行传统宫颈刮片检查及阴道镜活检,对比两组的检出阳性率、宫颈上皮内瘤变(CIN)以上病变的检出率及与病理诊断CIN的符合率.结果 TCT应用于宫颈癌及癌前病变筛查检出阳性率为6.75％,与病理诊断CIN的符合率为81.3％,联合阴道镜检查经病理活检证实为CIN以上病变的检出率为2.18％,均明显高于传统的宫颈刮片法联合阴道镜检查.结论 TCT联合阴道镜检查进行宫颈癌及癌前病变普查是适合我区经济水平的高效简捷的筛查方法,可为早发现、早诊断、早治疗宫颈癌及癌前病变及制定相关预防、干预对策提供依据.
目的 評價液基細胞學(TCT)及陰道鏡檢查聯閤應用于宮頸癌篩查的價值,探索一種適閤我區經濟水平的高效簡捷的宮頸癌及癌前病變的篩查方法.方法 2008年1月-2010年12月經我院普查的新會區已婚婦女18 601人,隨機分為兩組,其中A組11 104人行宮頸TCT檢查及陰道鏡活檢,B組7497人進行傳統宮頸颳片檢查及陰道鏡活檢,對比兩組的檢齣暘性率、宮頸上皮內瘤變(CIN)以上病變的檢齣率及與病理診斷CIN的符閤率.結果 TCT應用于宮頸癌及癌前病變篩查檢齣暘性率為6.75％,與病理診斷CIN的符閤率為81.3％,聯閤陰道鏡檢查經病理活檢證實為CIN以上病變的檢齣率為2.18％,均明顯高于傳統的宮頸颳片法聯閤陰道鏡檢查.結論 TCT聯閤陰道鏡檢查進行宮頸癌及癌前病變普查是適閤我區經濟水平的高效簡捷的篩查方法,可為早髮現、早診斷、早治療宮頸癌及癌前病變及製定相關預防、榦預對策提供依據.
목적 평개액기세포학(TCT)급음도경검사연합응용우궁경암사사적개치,탐색일충괄합아구경제수평적고효간첩적궁경암급암전병변적사사방법.방법 2008년1월-2010년12월경아원보사적신회구이혼부녀18 601인,수궤분위량조,기중A조11 104인행궁경TCT검사급음도경활검,B조7497인진행전통궁경괄편검사급음도경활검,대비량조적검출양성솔、궁경상피내류변(CIN)이상병변적검출솔급여병리진단CIN적부합솔.결과 TCT응용우궁경암급암전병변사사검출양성솔위6.75％,여병리진단CIN적부합솔위81.3％,연합음도경검사경병리활검증실위CIN이상병변적검출솔위2.18％,균명현고우전통적궁경괄편법연합음도경검사.결론 TCT연합음도경검사진행궁경암급암전병변보사시괄합아구경제수평적고효간첩적사사방법,가위조발현、조진단、조치료궁경암급암전병변급제정상관예방、간예대책제공의거.
Objective To study utility of Thin Prep cell test(TCT) and colposcope in screening of cervical cancer and to search for an economical and more sensitive way in screening of cervical cancer in Xinhui distict.Methods The study involved 18601 married women in Xinhui Distric who were screened in our hospital from Jan.2008 to Dec.2010,they were randomized into two groups,group A (11104 cases) were screened by TCT and colposcope,group B(7497 cases) were screened by traditional cervical-cell smears and colposcope,to compare the positive rates and the rates of conforming to the diagnosis of pathology cervical intraepithelial neoplasia (CIN) between two methods.Results In group A,6.75％ was the positive rate by using only TCT to screening,2.18％ was the rate of the diagnosis of pathology CIN and above it by using TCT and colposcope to screening,the rate of conforming to the diagnosis of pathology C IN was 81.3 ％,all the rates were remarkably higher than those screened by traditional cervical-cell smears and colposcope in group B.Conclusion TCT combined with colposcope is a more sensitive and economical method in screening of cervical cancer and CIN in Xinhui distict,it provides evidence for earlier finding,diagnosis and treatment,and for setting up preventive measurements and intervention for cervical cancer and CIN.
