CAJ | 학술논문

目的：比较广西地区宫颈液基细胞学诊断为意义未明的非典型鳞状细胞（ ASCUS）的组织学诊断结果，寻找合理的ASCUS患者管理方法。方法复习237例有组织病理学诊断的ASCUS患者临床病理资料。结果237例患者年龄19～67岁，中位年龄41岁，48例为绝经后妇女。223例患者无临床症状。专科检查，108例宫颈光滑，105例宫颈糜烂，23例宫颈肥大。组织学诊断为宫颈黏膜慢性炎伴鳞状上皮单纯性增生及宫颈黏膜慢性炎伴腺上皮鳞化、宫颈尖锐湿疣、宫颈上皮内病变（ CIN）Ⅰ级、CINⅡ及Ⅲ级、癌分别为121例（51.05％）、31例（13.08％）、54例（22.78％）、28例（11.80％）、3例（1.30％）。结论广西地区ASCUS患者大部分无临床症状，对ASCUS患者建议做阴道镜检查，疑为CIN或肿瘤者同时取活检，及时发现高级别CIN和癌。
목적：비교엄서지구궁경액기세포학진단위의의미명적비전형린상세포（ ASCUS）적조직학진단결과，심조합리적ASCUS환자관리방법。방법복습237례유조직병이학진단적ASCUS환자림상병리자료。결과237례환자년령19～67세，중위년령41세，48례위절경후부녀。223례환자무림상증상。전과검사，108례궁경광활，105례궁경미란，23례궁경비대。조직학진단위궁경점막만성염반린상상피단순성증생급궁경점막만성염반선상피린화、궁경첨예습우、궁경상피내병변（ CIN）Ⅰ급、CINⅡ급Ⅲ급、암분별위121례（51.05％）、31례（13.08％）、54례（22.78％）、28례（11.80％）、3례（1.30％）。결론엄서지구ASCUS환자대부분무림상증상，대ASCUS환자건의주음도경검사，의위CIN혹종류자동시취활검，급시발현고급별CIN화암。
Objective To compare the histological diagnosis results of the cervical atypical squamous cells of undetermined significance( ASCUS) in liquid based cytology in Guangxi district, looking for a reasonable management for the ASCUS patients.Methods The clinicopathological data of 237 cases of ASCUS with histological diagnosis were studied.Results Clinically, the age of 237 patients were ranged from 19 to 67 years old, the median age was 41 years, 48 cases of them were postmenopausal women, 94%(223 cases) of the patients were asymptoms.Gyneco-logical examination found that 46%(108 cases) of them had smooth cervix, 44%(105 cases) had cervical erosion, and 10%(23 cases) had cervical hypertrophy.The histological diagnosis showed that cervical chronic inflammation with squamous epithelial hyperplasia and cervical chronic inflammation with glandular epithelial metaplasia was found in 121cases(51.05%), cervical condyloma in 31 cases(13.08%), CINⅠ in 54 cases(22.78%), CINⅡ and Ⅲin 28 cases(11.80%), and carcinoma in 3 cases(1.30%).Conclusion Most of the ASCUS patients in Guangxi district are asymptoms.Colposcopy examination may be offered in ASCUS patients, and biopsy should be done at the same time when high-grade CIN or tumor are suspected, in order to find high-grade cervical precancerous lesions and cancer timely.