TCT联合阴道镜宫颈环切对宫颈病变诊治研究

目的 TCT联合阴道镜、宫颈环切术对宫颈病变的诊治。方法 对门诊病人TCT筛查，对有病变的患者行阴道镜、宫颈环切术，比较病理与细胞学的符合性。结果 TCT为ASCUS患者90．6％为宫颈慢性炎症，只有2．3％为CIN3。对LSIL的诊断符合率较高，HSIL时病理证实100％为CIN3及浸润癌。结论 TCT筛查具有必要性，对不同报告，采取阴道镜、宫颈环切可防治宫颈癌前病变。

The Role of TCT combined with colposcope and LEEP in diagnosis and treatment of cervical abnormality

Objective To discuss the role of TCT combined with LEEP in diagnosis and treatment of cervical abnormality.Methods To make TCT screening test for all outpatients.For patients with abnormal TCT result, colposcope and LEEP will be done.Then the pathologic and cytological diagnosis will be compared. Results Among all patients with ASCUS, 90.6% of them were diagnosed as chronic cervicitis, and only 2.3 % was CIN3.Those with LSIL mostly were confirmed by pathologic result, and CIN3 or infiltrating cancer was confirmed in all patients with HSIL. Conclusion TCT screening test is necessary. To different TCT results, colposcope and LEEP can be chosen to prevent cervical pre - cancerous stage.