CAJ | 학술논문

目的探讨液基细胞学检查(the ThinPrep cytology test,TCT)在宫颈早期病变诊断中的应用价值.方法对四川省妇幼保健院2009年7月至2011年5月门诊机会性筛查5 164例妇女TCT结果与组织病理学检查结果进行对比分析.结果 5 164例TCT筛查中,细胞学阳性306例(5.93％),其中意义不明的非典型鳞状上皮( atypical squamous cell of undetermined signification,ASCUS)163例(3.16％),非典型鳞状上皮—不除外高度鳞状上皮内病变(atypical squamous cell,cannot exclude high -grade squamous intraepithelial lesion,ASC - H) 29例(0.56％),低度鳞状上皮内病变(low -grade squamous intraepithelial lesion,LSIL)101例(1.96％),高度鳞状上皮内病变(high - grade squamous intraepithelial lesion,HSIL) 11例(0.21％),鳞状细胞癌(squamous cell carcinoma,SCC)1例(0.02％),非典型腺细胞,倾向肿瘤(atypical glandular cell,favor neoplasia,AGC,FN)1例(0.02％).TCT阳性结果与阴道镜下病理活检结果符合率:ASCUS为48.28％(42/87),ASC -H为82.61％(19/23),LSIL为56.00％(42/75),HSIL为81.82％(9/11),SCC为100.00％(1/1),AGC,FN为0％ (0/0).结论 TCT是筛查宫颈癌及癌前病变的重要手段和首选方法,且与组织病理学检查具有较高的符合率,有利于预防宫颈癌的发生.
목적 탐토액기세포학검사(the ThinPrep cytology test,TCT)재궁경조기병변진단중적응용개치.방법 대사천성부유보건원2009년7월지2011년5월문진궤회성사사5 164례부녀TCT결과여조직병이학검사결과진행대비분석.결과 5 164례TCT사사중,세포학양성306례(5.93％),기중의의불명적비전형린상상피( atypical squamous cell of undetermined signification,ASCUS)163례(3.16％),비전형린상상피—불제외고도린상상피내병변(atypical squamous cell,cannot exclude high -grade squamous intraepithelial lesion,ASC - H) 29례(0.56％),저도린상상피내병변(low -grade squamous intraepithelial lesion,LSIL)101례(1.96％),고도린상상피내병변(high - grade squamous intraepithelial lesion,HSIL) 11례(0.21％),린상세포암(squamous cell carcinoma,SCC)1례(0.02％),비전형선세포,경향종류(atypical glandular cell,favor neoplasia,AGC,FN)1례(0.02％).TCT양성결과여음도경하병리활검결과부합솔:ASCUS위48.28％(42/87),ASC -H위82.61％(19/23),LSIL위56.00％(42/75),HSIL위81.82％(9/11),SCC위100.00％(1/1),AGC,FN위0％ (0/0).결론 TCT시사사궁경암급암전병변적중요수단화수선방법,차여조직병이학검사구유교고적부합솔,유리우예방궁경암적발생.