薄层液基细胞学检查联合电子阴道镜检查诊断宫颈病变的价值探讨

目的：评价液基细胞学（TCT）检查与阴道镜检查定位活检及病理检查联合应用对宫颈病变的诊断价值.方法：对2008年1月至2009年12月在我院门诊就诊的1545例患者行TCT检查,细胞学诊断采用TBS分级系统,所有细胞学阳性（ASCUS以上的病变）的患者130例行阴道镜检查,定位活检并进行病理检查.结果：130例TCT诊断阳性的患者：ASCUS86例、LSIL34例、HSIL8例、癌2例 病理组织学诊断：慢性宫颈炎64例、CIN-I 40例、CIN-II 19例、CIN-III 5例、癌2例.结论：TCT联合阴道镜检查能及早发现宫颈癌前病变,显著提高宫颈病变的阳性检出率.

Thin layer fluid basal cell study inspection union electron vaginoscope inspects the diagnosis cervix of the uterus pathological change value discussion

Objective：Appraisal fluid basal cell study （TCT） inspection and vaginoscope inspection localization biopsy and pathology inspection union application to cervix of the uterus pathological change diagnosis value. Methods：To from January,2008 to December, 2009 in my courtyard out- patient service seeing a doctor 1545 example patient line of TCT inspection,the cytology diagnosis uses the TBS hierarchy system, all cytology mascu- line gender （ASCUS above pathological change） the patient 130 routine vaginoscope inspections, the localization biopsy and carries on the pathology inspection. Result 130 example TCT diagnosis masculine patient： ASCUS86 example, LSIL34 example, HSIL8 example, cancer 2 examples; Histo-- pathology diagnosis ： Chronic cervieitis 64 examples, CIN-- I 40 examples, CIN-- II 19 examples, CIN-- III 5 examples, cancer 2 examples. Conclusion ： The TCT union vaginoscope inspection can discover early in front of cervical cancer the pathological change,obviously enhances cervix of the uterus pathological change the masculine gender to pick out rate.