TCT、阴道镜在宫颈病变筛查中的应用

目的：评价液基薄层细胞检查（liquid-based cytology technology,TCT）、阴道镜在宫颈病变筛查中的作用。方法：运用TCT—阴道镜—病理组织学三阶梯诊断程序对门诊已婚妇女1 000例进行筛查,最后以病理组织学为金标准。结果：TCT和阴道镜对低度鳞状上皮病变检出率为分别为57.14%、92.86%,对高度鳞状上皮病变检出率分别为42.86%、85.71%,对宫颈癌检出率分别为50%、100%。二者差异有统计学意义（P〈0.05）。结论：TCT和阴道镜联合使用,可显著提高宫颈病变检出率的准确性。

The Value of TCT, Colposcopy in Screening Cervical Lesions

Objective:To evaluate the liquid-based cytology technology(TCT),colposcopy in screening cervical lesions.Methods: TCT—colposcopy—histopathological three-step diagnostic procedures for outpatient screening in 1 000 cases of married women were done,and finally histopathology was as the gold standard.Results:TCT and the results of colposcopy for low-grade squamous intraepithelial lesion(LSIL) detection rate was 57.14%,92.86%,the high-grade squamous intraepithelial lesion(HSIL) detection rates were 42.86%,85.71%,detection rate for cervical carcinoma(CC) was 50%,100%.The difference was statistically significant(P <0.05).Conclusion: TCT and colposcopy in combination can significantly improve the accuracy of the detection rate of cervical lesions.