中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
6期
43-44
,共2页
郝彤%李晓敏%马潇潇%刘学伟%何金萍%刘晓燕
郝彤%李曉敏%馬瀟瀟%劉學偉%何金萍%劉曉燕
학동%리효민%마소소%류학위%하금평%류효연
液基细胞学检查%巴氏脱落细胞学涂片%TBS系统
液基細胞學檢查%巴氏脫落細胞學塗片%TBS繫統
액기세포학검사%파씨탈락세포학도편%TBS계통
liquid-based cytology test%traditional Bethesda smeara%TBS system
目的：通过将液基细胞学（TCT）检查与传统巴氏涂片检查对妇科宫颈癌癌前病变的检出率、标本满意度及活检阳性符合率进行对比，探讨TCT在妇科宫颈病变筛查中的应用价值。方法：对任丘地区6000例已婚妇女应用液基细胞学检查结果进行分析，并回顾2008-2010年5000例应用传统巴氏涂片的妇科检查结果，二者对比，并对细胞学检查阳性病例行宫颈活检对照。结果：TCT组宫颈活检CINI 69例，CINII 16例，CINIII 42例，标本满意度和宫颈癌癌前病变的检出率分别是96.02%和2.11%，活检阳性符合率为62.56%；对照组宫颈活检CINI 23例，CINII 5例，CINIII 9例，标本满意度和宫颈癌癌前病变检出率分别是62.7%和0.62%，活检阳性符合率为38.54%。结论：TCT组在标本满意度、宫颈癌癌前病变检出率及活检阳性符合率均明显高于对照组，液基细胞学可提高早期宫颈病变的诊断率，降低宫颈癌的发病率，促进妇女生殖健康。
目的：通過將液基細胞學（TCT）檢查與傳統巴氏塗片檢查對婦科宮頸癌癌前病變的檢齣率、標本滿意度及活檢暘性符閤率進行對比，探討TCT在婦科宮頸病變篩查中的應用價值。方法：對任丘地區6000例已婚婦女應用液基細胞學檢查結果進行分析，併迴顧2008-2010年5000例應用傳統巴氏塗片的婦科檢查結果，二者對比，併對細胞學檢查暘性病例行宮頸活檢對照。結果：TCT組宮頸活檢CINI 69例，CINII 16例，CINIII 42例，標本滿意度和宮頸癌癌前病變的檢齣率分彆是96.02%和2.11%，活檢暘性符閤率為62.56%；對照組宮頸活檢CINI 23例，CINII 5例，CINIII 9例，標本滿意度和宮頸癌癌前病變檢齣率分彆是62.7%和0.62%，活檢暘性符閤率為38.54%。結論：TCT組在標本滿意度、宮頸癌癌前病變檢齣率及活檢暘性符閤率均明顯高于對照組，液基細胞學可提高早期宮頸病變的診斷率，降低宮頸癌的髮病率，促進婦女生殖健康。
목적：통과장액기세포학（TCT）검사여전통파씨도편검사대부과궁경암암전병변적검출솔、표본만의도급활검양성부합솔진행대비，탐토TCT재부과궁경병변사사중적응용개치。방법：대임구지구6000례이혼부녀응용액기세포학검사결과진행분석，병회고2008-2010년5000례응용전통파씨도편적부과검사결과，이자대비，병대세포학검사양성병례행궁경활검대조。결과：TCT조궁경활검CINI 69례，CINII 16례，CINIII 42례，표본만의도화궁경암암전병변적검출솔분별시96.02%화2.11%，활검양성부합솔위62.56%；대조조궁경활검CINI 23례，CINII 5례，CINIII 9례，표본만의도화궁경암암전병변검출솔분별시62.7%화0.62%，활검양성부합솔위38.54%。결론：TCT조재표본만의도、궁경암암전병변검출솔급활검양성부합솔균명현고우대조조，액기세포학가제고조기궁경병변적진단솔，강저궁경암적발병솔，촉진부녀생식건강。
Objective:Compare detection rate of cervical cancer lession precancerous 、degree of satisfaction of the examples and coincidence of biopsy masccline by liquid-based cytology test and traditional Bethesda smeara.To explore apply value of liquid-based cytology test in the screening of cervical cancer .Methods:Analyse resultes of liquid-based cytology test of six thousands married women in Ren Qiu area.Review resultes of traditional Bethesda smeara of five thousands women from 2008-2010.Compare the two.And compare cervical biopsy of masccline cases.Results:TCT cervical biopsy CINI 69 cases、CINII 16 cases、CINIII 42 cases. detection rate of cervical cancer lession precancerous 、degree of satisfaction of examples and the coincidence of biopsy masccline are 96.02%、2.11%、62.56%.Control group cervical biopsy CINI 23 cases、CINII 5 cases、CINIII 9 cases. detection rate of cervical cancer lession precancerous 、degree of satisfaction of the examples and coincidence of biopsy masccline are 62.7%、0.62%、38.54%.Conclusion:liquid-based cytology test is bet er than traditional Bethesda smeara in the above three indexes. It can improve diagnosis rate of prophase cervix lesion、reduce incidence rate of cervical cancer and promote woman reproductive health.
