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液基细胞学配合阴道镜检查对宫颈早期病变筛查中意义
引用本文:李晨,狄文,张懿,卢树华. 液基细胞学配合阴道镜检查对宫颈早期病变筛查中意义[J]. 中国妇幼保健, 2006, 21(14): 1995-1996
作者姓名:李晨  狄文  张懿  卢树华
作者单位:1. 上海市卢湾区妇幼保健院,200023
2. 上海交通大学附属仁济医院妇产科
3. 上海市卢湾区卫生局
基金项目:上海市卢湾区卫生系统学科带头人研究课题资助,课题名称:《宫颈疾病早期筛查的研究》,项目规划编号:009
摘    要:目的:评价电子阴道镜检查下宫颈活检病理对宫颈癌前病变的筛查效果。方法:对800例巴氏涂片为I~II级的患者进行薄层液基细胞学检测(TCT),对TBS分类检查为ASCUS及以上病变者在阴道镜检查下活检,以病理诊断为金标准。结果:44例ASCUS及以上病变者中慢性宫颈炎32例(72.7%),C INⅠ7例(15.9%),C INⅡ3例(6.8%),C INⅢ2例(4.6%)。结论:宫颈巴氏涂片为I~II级者的TCT检测为不能明确意义的不典型鳞状细胞ASCUS及以上病变患者,采用在阴道镜下活检明确诊断,可以提高宫颈上皮内瘤样病变(C IN)检出率。

关 键 词:宫颈细胞学  不典型鳞状细胞  病理组织学  阴道镜检查  宫颈上皮内瘤样病变
文章编号:1001-4411(2006)14-1995-02
修稿时间:2006-07-12

Discussion on liquid based cytology combined with colposcope in the early screening of cervix uteri disease
LI Chen, DI Wen, ZHANG Yi ,et al.. Discussion on liquid based cytology combined with colposcope in the early screening of cervix uteri disease[J]. Maternal and Child Health Care of China, 2006, 21(14): 1995-1996
Authors:LI Chen   DI Wen   ZHANG Yi   et al.
Affiliation:Maternity and Child Health Hospital of Luwan, Shanghai 200023, China
Abstract:Objective: To evaluate the effect of screening the cervical intraepithelial neoplasia(CIN)by the biopsy of cervix under colposcope.Methods:The thin cytology test(TCT)was done for 800 patients whose Papanicolaou's vaginal smear technique were Ⅰ~Ⅱlevel.The biopsy of cervix under colposcope was done for the patients whose TBS was ASCUS and over.Results:Among 44 patients whose TBS were ASCUS and over,32 cases(72.7%) were chronic cervicitis,7 cases(15.9%) were CIN Ⅰ,3 cases(6.8%) were CIN Ⅱ,2 cases were CIN Ⅲ.Conclusion:The detectable rate of CIN can be raised by the biopsy of cervix under colposcope.
Keywords:Cervix uteri cytology  Atypical squalors cell  Path histology  Colposcope  CIN
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