CAJ | 학술논문

目的：对比1000例50岁以上妇女宫颈涂片与活检结果，分析其中的关系。方法：回顾性分析1000例50岁以上体检患者宫颈巴氏涂片诊断，与组织学活检作对照。结果：巴氏涂片提示非典型鳞状细胞120例，其中75例活检结果证实为普通炎症，余为不同程度宫颈病变；低度病变10例，8例为CINⅠ/Ⅱ；高度病变25例，14例为普通炎症，余为CINⅡ/Ⅲ；可疑鳞癌3例，1例为普通炎症，2例鳞状细胞癌。结论：50岁以上妇女在宫颈巴氏涂片中的诊断往往容易误诊，需要细胞学诊断医师提高诊断水平，积累经验，减少患者不必要的痛苦。
목적：대비1000례50세이상부녀궁경도편여활검결과，분석기중적관계。방법：회고성분석1000례50세이상체검환자궁경파씨도편진단，여조직학활검작대조。결과：파씨도편제시비전형린상세포120례，기중75례활검결과증실위보통염증，여위불동정도궁경병변；저도병변10례，8례위CINⅠ/Ⅱ；고도병변25례，14례위보통염증，여위CINⅡ/Ⅲ；가의린암3례，1례위보통염증，2례린상세포암。결론：50세이상부녀재궁경파씨도편중적진단왕왕용역오진，수요세포학진단의사제고진단수평，적루경험，감소환자불필요적통고。
Objective:To compare the results of Pap smear and cervical biopsy for 1000 cases over 50 years old women.Method:The data of Pap smear for 1000 cases over 50 years old wonmen were analyzed retrospectively,comparing with cervical biopsy.Result:Pap smears suggested that atypical squamous cell of 120 cases,including 75 cases of biopsy results confirmed the ordinary inflammation,more than for the different degree of cervical lesions;10 cases of low-grade lesions,8 cases of CINⅠ/Ⅱ;25 cases of lesion,14 cases of common inflammation,more than for the CINⅡ/Ⅲ;3 cases of suspected squamous cell carcinoma,1 cases of ordinary inflammation,2 cases of squamous cell carcinoma.Conclusion:Women above 50 years old in the diagnosis of cervical Pap smear often easily misdiagnosed,cytological diagnosis physicians need to improve the diagnostic level,accumulate experience,reduce unnecessary pain of patients.