宫颈液基细胞学检查临床病理分析

目的：探讨宫颈液基细胞学与组织病理学诊断的符合情况，评估液基细胞学技术及TBS诊断系统在妇科普查宫颈疾病中的价值。方法：对6012例患者做Thin Prep膜式薄层液基细胞学检查，结果异常者依次做5％醋酸宫颈染色，肉眼观察并阴道镜检查及宫颈多点活检病理组织学检查。细胞学诊断采用TBS（2001）分级报告系统，阳性诊断包括意义不明的不典型鳞状细胞（ASC—US）及以上标本；且所有ASC—US以上病变的患者全部有病理组织学诊断结果，并对两者进行了对照分析。结果：6012份宫颈细胞学检查与组织病理学对照结果显示：2例鳞状细胞癌（SCC）均符合，高级别鳞状上皮内病变（HSIL）76．87％，低级别鳞状上皮内病变（LSIL）为78．65％。结论：应用液基细胞学制片方法、准确掌握TBS的诊断标准可确保宫颈细胞学检查的准确性，并可及早发现宫颈早期病变。

Cervix of the uterus fluid basal cell study inspection clinical pathology analysis

Objective：The discussion cervix of the uterus fluid basal cell study and the organization pathology diagnosis conforms to the situation, the appraisal fluid basal cell study technology and the TBS diagnosis system in gynecology department general survey cervix of the uterus disease value. Methods： Makes Thin to 6012 example patients the Prep film type thin layer fluid basal cell study inspection,results the unusuality makes 5% acetic acid cervix of the uterus to dye in turn,visual observation and vaginoscope inspection and cervix of the uterus multi-spot biopsy histo-pathology inspection. The cytology diagnosis uses TBS（2001） graduation reporting technology system,the masculine diagnosis including significance unclear atypical squamose cell （ASC-US） and above specimen;Also above all ASC--US the pathological change patient has the histo-pathology diagnosis result completely,and has carried on the check analysis to both. Results：6012 cervix of the uterus cytology inspection and the organization pathology result of comparison showed that, 2 example squamose cell cancer （SCC） tallies, on the high. rank squamose intracutaneous pathological change （HSIL） 76. 87%,on low rank squamose intracutaneous pathological change （LSIL） is 78.65 %. Conclusion： Using the fluid base cytology movie-making method, grasps TBS the diagnosis standard to be possible accurately to guarantee tee cervix of the uterus cytology inspection the accuracy,and may discover the cervix of the uterus early time pathological change early.