CAJ | 학술논문

目的：探讨宫颈液基细胞学检测及阴道镜检查对于宫颈病变的诊断价值。方法通过机会性筛查对宫颈细胞学异常的534例患者进行阴道镜检查，并与宫颈活组织检查结果进行比较。结果在TCT诊断为不典型鳞状细胞(ASC)的286例患者中宫颈病变的占32.17％(92／286)，TCT判读为低度上皮内病变(LSIL)和高度上皮内病变(HSIL)分别105例和134例，与病理诊断结果的符合率分别为51.43％(54／105)及85.82％(115／134)，两者比较差异有统计学意义(P<0.05)；LSIL，HSIL，宫颈癌阴道镜诊断与宫颈病理学诊断的符合率分别为64.66％(75／116)，93.10％(135／145)，96.00％(24／25)，三者比较差异有统计学意义(P<0.05)。结论联合宫颈液基细胞学检查和阴道镜检查可以明确诊断宫颈病变，降低漏诊率。
목적：탐토궁경액기세포학검측급음도경검사대우궁경병변적진단개치。방법통과궤회성사사대궁경세포학이상적534례환자진행음도경검사，병여궁경활조직검사결과진행비교。결과재TCT진단위불전형린상세포(ASC)적286례환자중궁경병변적점32.17％(92／286)，TCT판독위저도상피내병변(LSIL)화고도상피내병변(HSIL)분별105례화134례，여병리진단결과적부합솔분별위51.43％(54／105)급85.82％(115／134)，량자비교차이유통계학의의(P<0.05)；LSIL，HSIL，궁경암음도경진단여궁경병이학진단적부합솔분별위64.66％(75／116)，93.10％(135／145)，96.00％(24／25)，삼자비교차이유통계학의의(P<0.05)。결론연합궁경액기세포학검사화음도경검사가이명학진단궁경병변，강저루진솔。
Objective To explore the diagnostic value of cervix liquid based cytology (TCT),colposcope examination for cervical diseases. Methods A totle of 534 women with abnormal TCT received the colposcope examination.The test results were compared with the pathological dignosis. Results The cervical deseases accounted for 32.17%(92/286)in the atypical squamous cells (ASC)by TCT. The coincidence rate of TCT and pathological dignosis results was51.43%(54/105) for low-grade squamous intraepithelial lesion (LSIL) and 85.82%(115/134)for high-grade squamous intraepithelial lesion(HSIL),and the difference was statistically significant(P<0.05). The coincidence rate of colposcope and pathological diagnosis was 64.66%(75/116)for LSIL,93.10%(135/145)for HSIL,96.00%(24/25) for cervical cancer,and the difference was statistically significant(P<0.05) the team the recurrence of tubal pregnancy patients with smoking accounted for 75%, chance is far greater than the non-smokers. Conclusion TCT combined with colposeope can diagnose cervical deseases specibically and cut down the rate of missed diagnosis.