潍坊医学院学报
濰坊醫學院學報
유방의학원학보
JOURNAL OF WEIFANG MEDICAL COLLEGE
2013年
6期
462-464
,共3页
TCT%阴道镜%宫颈活检%宫颈病变
TCT%陰道鏡%宮頸活檢%宮頸病變
TCT%음도경%궁경활검%궁경병변
TCT%Colposcopy%Cervical biopsy%Cervical lesions
目的：探讨阴道镜宫颈活检与宫颈薄层液基细胞学（ TCT ）在宫颈病变筛查中的临床应用价值。方法选取2012年1月～12月在妇科门诊行宫颈薄层液基细胞学（ TCT）检查异常的483例患者，并同时行阴道镜宫颈活检组织病理检查，对临床资料进行回顾性分析。 TCT检查报告采用TBS 诊断系统，结合病理检查报告，作出诊断。结果 TCT结果为不能明确意义的非典型鳞状细胞（ ASC-US）351例，阴道镜下宫颈活检病理检出CINⅠ～CINⅢ223例（63．53％），鳞状上皮内低度病变（LSIL）82例中，阴道镜宫颈活检病理检出符合CINⅠ～CINⅢ75例（91．46％），鳞状上皮内高度病变（HSIL）44例中，阴道镜下宫颈活检病理检出符合CINⅠ～CIMⅢ41例（83．67％），在SCC 6例中，阴道镜下宫颈活检检出符合SCC 6例（100．00％）。结论 TCT检查与宫颈活检诊断符合率较高，对高级别 CIN及宫颈癌诊断准确率高，采用阴道镜宫颈活检联合TCT检测可以早期发现宫颈癌前病变，是宫颈癌筛查的安全、可靠、准确的检查方法。
目的：探討陰道鏡宮頸活檢與宮頸薄層液基細胞學（ TCT ）在宮頸病變篩查中的臨床應用價值。方法選取2012年1月～12月在婦科門診行宮頸薄層液基細胞學（ TCT）檢查異常的483例患者，併同時行陰道鏡宮頸活檢組織病理檢查，對臨床資料進行迴顧性分析。 TCT檢查報告採用TBS 診斷繫統，結閤病理檢查報告，作齣診斷。結果 TCT結果為不能明確意義的非典型鱗狀細胞（ ASC-US）351例，陰道鏡下宮頸活檢病理檢齣CINⅠ～CINⅢ223例（63．53％），鱗狀上皮內低度病變（LSIL）82例中，陰道鏡宮頸活檢病理檢齣符閤CINⅠ～CINⅢ75例（91．46％），鱗狀上皮內高度病變（HSIL）44例中，陰道鏡下宮頸活檢病理檢齣符閤CINⅠ～CIMⅢ41例（83．67％），在SCC 6例中，陰道鏡下宮頸活檢檢齣符閤SCC 6例（100．00％）。結論 TCT檢查與宮頸活檢診斷符閤率較高，對高級彆 CIN及宮頸癌診斷準確率高，採用陰道鏡宮頸活檢聯閤TCT檢測可以早期髮現宮頸癌前病變，是宮頸癌篩查的安全、可靠、準確的檢查方法。
목적：탐토음도경궁경활검여궁경박층액기세포학（ TCT ）재궁경병변사사중적림상응용개치。방법선취2012년1월～12월재부과문진행궁경박층액기세포학（ TCT）검사이상적483례환자，병동시행음도경궁경활검조직병리검사，대림상자료진행회고성분석。 TCT검사보고채용TBS 진단계통，결합병리검사보고，작출진단。결과 TCT결과위불능명학의의적비전형린상세포（ ASC-US）351례，음도경하궁경활검병리검출CINⅠ～CINⅢ223례（63．53％），린상상피내저도병변（LSIL）82례중，음도경궁경활검병리검출부합CINⅠ～CINⅢ75례（91．46％），린상상피내고도병변（HSIL）44례중，음도경하궁경활검병리검출부합CINⅠ～CIMⅢ41례（83．67％），재SCC 6례중，음도경하궁경활검검출부합SCC 6례（100．00％）。결론 TCT검사여궁경활검진단부합솔교고，대고급별 CIN급궁경암진단준학솔고，채용음도경궁경활검연합TCT검측가이조기발현궁경암전병변，시궁경암사사적안전、가고、준학적검사방법。
Objective To explore the clinical application value of colposcopy cervical biopsy and liquid -based cytology test in the screening of cervical lesions .Methods Four hundred and eighty-three patients who udergone the TCT examination from January to December in gynecological clinic were chosen for pathological colposcopy cervical biopsy To select 483 gynecological clinic patients who had the TCT examination and were inspected to be abnormal in Care Hospital from January to December ,2012 ,have pathological colposcopy cervical biopsy for them and retrospective a-nalysis fwas carried out .or their entire clinical datum .Among which the TBS diagnostic system wasis used in the TCT in-spection report ,which contributed to the diagnosis ,as well as combined with the pathological examination report to make the diagnosis.Results Among the patients with the TCT result being ASC-US351,CINⅠ~CINⅢ223 patients(63. 53%) were detected with the pathological colposcopy cervical biopsy;CINⅠ~CINⅢ75 patients(91.46%) were de-tected with the pathological colposcopy cervical biopsy;CINⅠ~CIMⅢ41 patients were detected with the pathological colposcopy cervical biopsy and among the 6 SCC patients ,SCC 6 patients were detected with the colposcopy cervical bi-opsy .Conclusion The diagnose accordance rate of TCT examination and cervical biopsy diagnosis is high ;the diagnose accordance rate of cervical cancer with CIN of higher level is high .Precancerous lesions of uterine cervix can be found at an earlier age with the adoption of colposcopic cervical biopsy combined with TCT examination and stopped or slowed down ,which is the safe ,reliable and accurate examination method for the screening of cervical cancer .
