TCT及阴道镜下活检在宫颈疾病中的诊断价值

目的探讨TCT联合阴道镜下活检在诊断宫颈病变中的应用价值。方法对2006年11月至2009年9月就诊于上海交通大学医学院苏州九龙医院妇科门诊8 377例患者行TCT筛查,其中细胞学阳性患者进一步阴道镜检查并行病理活检。结果细胞学阳性患者225例,其中ASCUS142例,LSIL 41例,HSIL 33例,病理符合率分别为73.9%,53.7%,51.5%。阴道镜下宫颈活检225例共检出CIN以上病例105例,病理阳性率占(46.7%)。CIN及原位癌年龄主要分布在20-49岁,CIN发生在20-39岁占58.1%。结论 TCT与病理组织学检查有较高符合率,联合阴道镜下活检能提高宫颈病变的检出率,可作为宫颈病变的筛查诊断方法 。

TCT and colposcopy biopsy in the diagnosis of cervical disease

Objective To investigate the TCT combined colposcopy biopsy in the diagnosis of cervical lesions in the application.Methods from November 2006 to September 2009 attendance at the Suzhou Kowloon Hospital 8 377 cases of patients undergoing outpatient gynecological TCT,in which cytology-positive patients in parallel to further colposcopy biopsy.Results The cytology-positive patients,225 cases,of which ASCUS142 cases,LSIL 41 cases,HSIL 33 cases of pathology consistent with rates of 73.9%,53.7%,51.5%.225 cases of cervical biopsy colposcopy CIN were found in more than 105 cases of cases pathology accounted for the positive rate（46.7%）.CIN and carcinoma in situ of age mainly in the 20-49 years of age,CIN occurred in the 20-39 years of age accounted for 58.1%.Conclusion TCT and pathological histology have a higher line rate,the joint colposcopy biopsy can improve the detection rate of cervical lesions can be used as diagnostic methods for cervical lesions.