液基薄层细胞学检测对宫颈病变的诊断价值

目的探讨液基薄层细胞学检测（TCT）技术对宫颈癌前病变的诊断价值。方法收集宫颈病变患者1000倒，分别应用TCT（500例）检查及传统巴氏涂片（500例）检查。结果TCT法满意490例（98．0％），高于传统涂片法的440例（88．0％）（χ^2=3．987，P〈0．05）；传统涂片法检查IIB～V级阳性50例（10．0％）低于TCT法的85例（17．1％）（χ^2=3．923，P〈0．05）；TCT检查与病理活检的阳性符合率64．7％，明显高于传统涂片法的44．0％（χ^2=3．893，P〈0．05）。结论TCT技术明显提高了标本的满意率及宫颈异常细胞检出率，并且与组织病理活检有较高的阳性符合率，适合于临床推广应用。

Diagnostic value of thinPrep liquid-base cytologic test(TCT)examination in patients with cervical disease

Objective To evaluate the clinical significance of liquid-based cytological test(TCT)examina-tion for screening of cervical disease.Method 1000 case were divided into two groups,500 cases were examined by liquid-based cytological examination.and 500 cases were examined by traditional Papanicoloaou smear.Results TCT satisfied with 490 cases(98.0%)which was higher than the traditional smear method 440 cases(88.0%)(χ~2=3.987,P<0.05);The traditional smear examination ⅡB～V-class positive 50 cases(10.0%)were lower than TGT 85 cases(17.1%)(χ~2=3.923,P<0.05);TCT examination、with biopsy of the positive coincidence rate of 64.7% were significantly higher than the traditional smear 44.0%(χ~2=3.893,P<0.05).Conclusion TCT technology significantly improves satisfaction rates and detection rate of abnormal cells,also with the pathology biopsy have a higher positive coincidence rate,suitable for clinical application.