阶梯式筛查宫颈癌的临床应用

目的:探讨阶梯式筛查宫颈癌的临床应用价值。方法:对患者采用液基细胞学检查(TCT)、阴道镜检查并活检、病理确诊宫颈病变及宫颈癌。结果:2 600例患者TCT阳性324例,阳性率为12.46%,其中低度鳞状上皮内病变(LSIL)、高度鳞状上皮内病变(HSIL)、宫颈癌(CC)与病检的符合率分别为64.47%、85%、100%。324例TCT阳性及31例TCT阴性但临床可疑患者病理确诊为:CINⅠ、CINⅡ、CINⅢ、CC分别为68、45、32、11例,病理确诊CINⅠ及以上病变156例,阳性率为43.94%。结论:采用TCT-阴道镜检查-病理诊断阶梯式方法筛查宫颈癌,能早期发现宫颈病变及宫颈癌,是有效的宫颈癌筛查方法。

The clinical application of steps screening for cervical cancer

Objective: To evaluate the clinical application and value of steps diagnosis screening for cervical cancer.Methods: The patients were checked with liquid based cytology(TCT),colposcopy and biopsy,pathological diagnosis of cervical lesions and cervical cancer.Results: The 324 cases of TCT examination was positive in 2 600 cases,positive rate was 12.46%,among them,LSIL,HSIL,CC and disease of the consistent rate was respectively 64.47%,85%,100%.The 324 cases of TCT positive and 31 cases of TCT negative was diagnosed pathologically as CIN I 68 cases,CIN II 45 cases,CIN III 32 cases,CC 11cases,the lesions of pathological diagnosis above CIN I was 156 cases,the positive rate was 43.94%.Conclusion: Using TCT-colposcopy-pathological diagnosis of steps screening for cervical cancer would be more effective in early detection of cervical disease and cervical cancer,it was an effective screening method for cervical cancer.