CAJ | 학술논문

目的：探讨液基细胞学检测(TCT)联合阴道镜检查在宫颈癌筛查中的应用价值。方法：对8130例农村妇女行宫颈癌筛查，筛查出73例检测阳性，检测阳性率0.83%，进行TCT检测并联合阴道镜检查及活组织病理检查，以宫颈活组织病理诊断为金标准，对结果进行分析。结果：鳞状上皮癌1例，低度病变(CINⅠ)4例，高度病变10例(CINⅡ6例，CINⅢ4例)，非典型鳞状上皮内病变(ASC-US)1例，鳞状上皮增生活跃1例。结论：一般妇女进行定期TCT检测对妇女宫颈癌的预防、早期诊断、早期治疗有重要筛选价值。TCT联合阴道镜检查在宫颈癌筛查中敏感性好、准确度高，两者可以互补，能提高宫颈病变的检出率和准确性。
목적：탐토액기세포학검측(TCT)연합음도경검사재궁경암사사중적응용개치。방법：대8130례농촌부녀행궁경암사사，사사출73례검측양성，검측양성솔0.83%，진행TCT검측병연합음도경검사급활조직병리검사，이궁경활조직병리진단위금표준，대결과진행분석。결과：린상상피암1례，저도병변(CINⅠ)4례，고도병변10례(CINⅡ6례，CINⅢ4례)，비전형린상상피내병변(ASC-US)1례，린상상피증생활약1례。결론：일반부녀진행정기TCT검측대부녀궁경암적예방、조기진단、조기치료유중요사선개치。TCT연합음도경검사재궁경암사사중민감성호、준학도고，량자가이호보，능제고궁경병변적검출솔화준학성。
Objective:To explore Value of thinprep cytology test(TCT) combination with colposcopy test in the early diagnosis of cervical cancer.Methods:Among 8 130 rural women with cervical cancer screening,73 cases had test positive,with the positive detection rate 0.83%,and they were given TCT combined with colposcope examination and living tissue pathological examination, with the cervical biopsy pathological diagnosis as the gold standard.The results were analyzed.Results:1 case had phosphorus epithelial carcinoma;4 cases had low-grade lesions(CIN1);10 cases had highly lesions(6 cases of CIN2,4 cases of CIN3);1 case had atypical squamous intraepithelial lesions(ASC-US);1 case had active squamous epithelial hyperplasia.Conclusion:The regularly TCT detection has important value of screening for women cervical cancer prevention, early diagnosis and early treatment.TCT combined colposcopy examination in the cervical cancer screening has good sensitivity,high accuracy,which complement each other and could increase the detection rate and accuracy of cervical lesions.