宫颈液基薄层细胞学在宫颈病变病理诊断中的意义

目的探讨液基薄层细胞学(TCT)检查在宫颈病变病理诊断中的意义。方法回顾分析我院2009年1月至2012年6月5795例患者运用TCT进行宫颈脱落细胞学检查,阳性病例在阴道镜下活检,二者结果相比较分析。结果 TCT检查阴性5499例,阳性296例,阳性率5.11%,假阴性15例,无假阳性病例。组织活检炎症17例,CINⅠ224例,CINⅡ20例,CINⅢ30例,CA 5例,LSIL与CINⅠ符合率80.0%(36/45),HSIL与CINⅡ/Ⅲ符合率88.9%(24/27)。结论 TCT检查具有损伤小,阳性检出率高,重复性强,对已婚妇女可作为宫颈癌及癌前病变筛查的主要方法。

Cervical Liquid-based Cytology in Cervical Lesions the Pathological Diagnosis of Significance

Objective To investigate the liquid-based cytology （TCT） value in pathological diagnosis of cervical lesions. Methods Retrospective analysis of 2009 January to 2012 June, 5795 patients with TCT cervical cytology, colposcopy biopsy positive cases, compared the two results. Results In 5499 cases of TCT were negative, 296 cases were positive, the positive rate was 5.11%, false negative in 15 cases, no false positive cases. 17 cases of biopsy tissue inflammation, 224 cases of CIN I, 20 cases of CIN II, 30 cases of CINm, CA 5 cases, LSIL and CIN I coincidence rate was 80% （36/45）, HSIL and CIN II/Ulcoincidence rate was 88.9% （24/27）. Conclusion TCT examination has a little injury, high positive rate, strong repeatability, for married women can be used as the main method of screening for cervical cancer and precancerous lesions.