中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
14期
63-65
,共3页
液基细胞学%传统细胞学涂片%宫颈鳞状细胞病变
液基細胞學%傳統細胞學塗片%宮頸鱗狀細胞病變
액기세포학%전통세포학도편%궁경린상세포병변
Liquid-based cytology%Conventional cytology smears%Cervical squamous cell lesions
目的 比较液基细胞学技术与传统细胞学涂片在宫颈鳞状细胞病变检测中的价值.方法 对2009年10月至2012年10月1200例妇女采用宫颈液基细胞学或传统细胞学涂片进行筛查,并对筛查阳性病例以其阴道镜检查及病理活检结果为金标准作为阳性对照,评估液基细胞学技术对宫颈不同病变的诊断价值.结果 宫颈液基细胞学筛查出ASCUS/A-GUS及以上分级病例96例,阳性检出率为16.00％；传统细胞学涂片筛查出巴氏ⅡB级及以上分级病例29例,阳性检出率为4.83％；宫颈液基细胞学阳性检出率明显高于传统细胞学涂片,差异有统计学意义(P＜0.05).以阴道镜及病理组织学检查结果为金标准,宫颈液基细胞学筛查符合率为76.80％,传统细胞学涂片筛查符合率为38.16％,两组比较差异有统计学意义(P＜0.05).结论 液基细胞学技术筛查宫颈鳞状细胞病变明显优于传统细胞学涂片.
目的 比較液基細胞學技術與傳統細胞學塗片在宮頸鱗狀細胞病變檢測中的價值.方法 對2009年10月至2012年10月1200例婦女採用宮頸液基細胞學或傳統細胞學塗片進行篩查,併對篩查暘性病例以其陰道鏡檢查及病理活檢結果為金標準作為暘性對照,評估液基細胞學技術對宮頸不同病變的診斷價值.結果 宮頸液基細胞學篩查齣ASCUS/A-GUS及以上分級病例96例,暘性檢齣率為16.00％；傳統細胞學塗片篩查齣巴氏ⅡB級及以上分級病例29例,暘性檢齣率為4.83％；宮頸液基細胞學暘性檢齣率明顯高于傳統細胞學塗片,差異有統計學意義(P＜0.05).以陰道鏡及病理組織學檢查結果為金標準,宮頸液基細胞學篩查符閤率為76.80％,傳統細胞學塗片篩查符閤率為38.16％,兩組比較差異有統計學意義(P＜0.05).結論 液基細胞學技術篩查宮頸鱗狀細胞病變明顯優于傳統細胞學塗片.
목적 비교액기세포학기술여전통세포학도편재궁경린상세포병변검측중적개치.방법 대2009년10월지2012년10월1200례부녀채용궁경액기세포학혹전통세포학도편진행사사,병대사사양성병례이기음도경검사급병리활검결과위금표준작위양성대조,평고액기세포학기술대궁경불동병변적진단개치.결과 궁경액기세포학사사출ASCUS/A-GUS급이상분급병례96례,양성검출솔위16.00％；전통세포학도편사사출파씨ⅡB급급이상분급병례29례,양성검출솔위4.83％；궁경액기세포학양성검출솔명현고우전통세포학도편,차이유통계학의의(P＜0.05).이음도경급병리조직학검사결과위금표준,궁경액기세포학사사부합솔위76.80％,전통세포학도편사사부합솔위38.16％,량조비교차이유통계학의의(P＜0.05).결론 액기세포학기술사사궁경린상세포병변명현우우전통세포학도편.
Objective To compare the value of liquid-based cytology and conventional cytology smears on detection of cervical squamous cell lesions.Methods One thousand and two hundred women were detected by cervical liquid-based cytology and conventional cytology smear screening from Oct.2009 to Oct.2012,of which positive cases were detected by colposcopy and biopsy as the gold standard as a positive control.The diagnostic value of the liquid-based cytology on cervical lesions was assessed.Results The positive detection rate of ASCUS/A-GUS and above lesions was 16.00％ (96 cases) by liquid-based cytology detection,and positive detection rate of pap ⅡB level and above lesions was 4.83 ％ (29 cases).The positive detection rate by liquid-based cytology was significantly higher than that of conventional cytology smears,the difference was statistically significant (P ＜ 0.05).Colposcopic and histopathological findings as the gold standard,cervical liquid-based cytology screening coincidence rate was 76.80％,conventional cytology smear screening coincidence rate was 38.16％,and the difference was statistically significant (P ＜ 0.05).Conclusions Liquid-based cytology screening for cervical squamous cell lesions is significantly superior to conventional cytology smears.
