CAJ | 학술논문

目的：对照宫颈鳞状上皮内高度病变（HSIL）与组织学诊断结果，分析误诊病例，探讨宫颈上皮内高度病变的诊断方法。方法回顾性分析40例行阴道镜下宫颈活检组织学诊断和宫颈液基薄层细胞检测（TCT）诊断的宫颈鳞状上皮内高度病变患者。结果40例宫颈活检中，经组织学证实为阳性的病例有35例，其中33例为CINⅡ~Ⅲ级，2例为鳞状细胞癌。结论非典型鳞状细胞（ASC-H）以及HSIL与组织学诊断有较好的符合率。
목적：대조궁경린상상피내고도병변（HSIL）여조직학진단결과，분석오진병례，탐토궁경상피내고도병변적진단방법。방법회고성분석40례행음도경하궁경활검조직학진단화궁경액기박층세포검측（TCT）진단적궁경린상상피내고도병변환자。결과40례궁경활검중，경조직학증실위양성적병례유35례，기중33례위CINⅡ~Ⅲ급，2례위린상세포암。결론비전형린상세포（ASC-H）이급HSIL여조직학진단유교호적부합솔。
Objective To compare the high grade squamous intraepithelial lesion (HSIL)in liquid-based cytology smears with histological diagnosis,and to investigate the diagnosis of HSIL in liquid-based cytology. Methods 40 cases of HSIL based on cytology smears and their corresponding histology specimens were retrospectively analyzed. Results The rate of histological positive cases in 40 HSIL was 87.5%(35/40),with 33 cases diagnosed as CIN2-3 and 2 cases diagnosed as squamous cell carcinoma. Conclusions There is high coincidence in ASC-H and HSIL between cytological and histological diagnosis.