中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
11期
139-140,141
,共3页
宫颈活检%细胞学涂片%病理诊断%细胞学判读结果
宮頸活檢%細胞學塗片%病理診斷%細胞學判讀結果
궁경활검%세포학도편%병리진단%세포학판독결과
Cervical biopsy%Cytological smear%Pathologic diagnosis%Cytologic interpretation results
目的:提高对宫颈病变的细胞学诊断水平及探讨适应宫颈活检的情况。方法:复查本院2008-2012年宫颈活检病理诊断与细胞学涂片结果不符31例病理切片及细胞学涂片。结果:活检病理诊断:原位腺癌1例;CIN1(上皮内肿瘤1级)3例;CIN难分级1例;AIM(不典型不成熟鳞状细胞化生)6例;HPV(人乳头状瘤病毒)感染2例;ISM(不成熟鳞状细胞化生)6例;萎缩2例;慢性宫颈炎10例。结论:细胞学诊断的准确性直接关系到宫颈病变的检出,而其依赖于诊断医生的认识水平;细胞学判读结果为癌或HSIL(高级别鳞状上皮内病变)时直接做宫颈活检,为LSIL(低级别鳞状上皮内病变)、ASC-H(非典型性鳞状细胞、不除外HSIL)、ASC-US(意义不明确的非典型性鳞状细胞)时至少要做阴道镜检查后,再决定是否做宫颈活检,AGC(非典型性腺细胞)倾向于肿瘤的,进行宫颈管活检、子宫内膜活检。
目的:提高對宮頸病變的細胞學診斷水平及探討適應宮頸活檢的情況。方法:複查本院2008-2012年宮頸活檢病理診斷與細胞學塗片結果不符31例病理切片及細胞學塗片。結果:活檢病理診斷:原位腺癌1例;CIN1(上皮內腫瘤1級)3例;CIN難分級1例;AIM(不典型不成熟鱗狀細胞化生)6例;HPV(人乳頭狀瘤病毒)感染2例;ISM(不成熟鱗狀細胞化生)6例;萎縮2例;慢性宮頸炎10例。結論:細胞學診斷的準確性直接關繫到宮頸病變的檢齣,而其依賴于診斷醫生的認識水平;細胞學判讀結果為癌或HSIL(高級彆鱗狀上皮內病變)時直接做宮頸活檢,為LSIL(低級彆鱗狀上皮內病變)、ASC-H(非典型性鱗狀細胞、不除外HSIL)、ASC-US(意義不明確的非典型性鱗狀細胞)時至少要做陰道鏡檢查後,再決定是否做宮頸活檢,AGC(非典型性腺細胞)傾嚮于腫瘤的,進行宮頸管活檢、子宮內膜活檢。
목적:제고대궁경병변적세포학진단수평급탐토괄응궁경활검적정황。방법:복사본원2008-2012년궁경활검병리진단여세포학도편결과불부31례병리절편급세포학도편。결과:활검병리진단:원위선암1례;CIN1(상피내종류1급)3례;CIN난분급1례;AIM(불전형불성숙린상세포화생)6례;HPV(인유두상류병독)감염2례;ISM(불성숙린상세포화생)6례;위축2례;만성궁경염10례。결론:세포학진단적준학성직접관계도궁경병변적검출,이기의뢰우진단의생적인식수평;세포학판독결과위암혹HSIL(고급별린상상피내병변)시직접주궁경활검,위LSIL(저급별린상상피내병변)、ASC-H(비전형성린상세포、불제외HSIL)、ASC-US(의의불명학적비전형성린상세포)시지소요주음도경검사후,재결정시부주궁경활검,AGC(비전형성선세포)경향우종류적,진행궁경관활검、자궁내막활검。
Objective:To improve the cytological diagnosis level of cervical lesions and investigate the situation adapt to cervical biopsy.Method:31 pathological sections and cytological smears which results inconsistent between the cervical biopsy and cytological smear in our hospital from 2008 to 2012 were reexamined.Result:Biopsy pathological diagnosis:1 case of AIS;3 cases of CIN1;1 case of CIN hard classification;6 cases of AIM;2 cases of HPV infection;6 cases of ISM;2 cases of atrophy;10 cases of chronic cervicitis.Conclusion:The inspection results of cervical lesions are directly related to the accuracy of cytologic diagnosis which depends on diagnostician's cognitive level.If the cytologic interpretation results are cancer or HSIL,the direct cervical biopsy should be done.If the cytologic interpretation results are LSIL,ASC-H,ASCUS, the vaginoscopy should be done first,then determine whether it’s worth doing cervical biopsy,AGC,cervical canal biopsy or endometrium biopsy related to tumor.