CAJ | 학술논문

目的：：分析宫颈液基薄层细胞学TCT检测结果为未明确诊断意义的不典型鳞状上皮细胞(ASCUS)患者的临床与组织学诊断结果，探讨其临床意义及处理方式。方法：研究对象共321例，患者均来自四川川南地区，行宫颈液基细胞学检查且有组织病理学进行对照，应用TBS分级诊断标准。结果：321例ASCUS患者中，36~45岁年龄段检出率最高(48.6%)。病理活检结果为炎症占68.5%，CINⅠ级占13.7%，CINIⅡ级占8.7%，CINⅢ级占9.0%。其中，患者≤25岁CIN占37.5%，36~45岁CIN占37.8%，宫颈病变发病年龄出现低龄化的趋势。结论：四川川南地区，ASCUS患者隐藏着CIN病变，对待ASCUS患者应给予个体化处理，从而降低宫颈癌的发病率。
목적：：분석궁경액기박층세포학TCT검측결과위미명학진단의의적불전형린상상피세포(ASCUS)환자적림상여조직학진단결과，탐토기림상의의급처리방식。방법：연구대상공321례，환자균래자사천천남지구，행궁경액기세포학검사차유조직병이학진행대조，응용TBS분급진단표준。결과：321례ASCUS환자중，36~45세년령단검출솔최고(48.6%)。병리활검결과위염증점68.5%，CINⅠ급점13.7%，CINIⅡ급점8.7%，CINⅢ급점9.0%。기중，환자≤25세CIN점37.5%，36~45세CIN점37.8%，궁경병변발병년령출현저령화적추세。결론：사천천남지구，ASCUS환자은장착CIN병변，대대ASCUS환자응급여개체화처리，종이강저궁경암적발병솔。
Objective: To analyze the clinical and histopathological results of patients with atypical squamous cells of undetermined significance (ASCUS) and to discuss how to handle these patients. Methods: A total of 321 cases of ASCUS from South Sichuan were included.The cervical liquid based cytologica tests were performed and compared with histopathological results. Classification criteria of the Bathesda system was used for the diagnosis. Results: 36 ~ 45 years old group had the highest lesion detectien rate (48.6%). Pathological biopsy results showed that inflammation accounted for 68.5%, CINⅠ for 13.7%, CINII for 8.7%, and CINⅢ for 9.0%. The occurrence of cervical intraepithelial neoplasia in patients less than 25 years old was 37.5%and in 36~45 years old was 37.8%, the onset age for cervical lesions showing the trend of becoming younger. Conclusion:The patients with ASCUS in South Sichuan have the risk of CIN lesions, The treatment of ASCUS patients should be individualized to reduce the incidence of cervical cancer.