TCT及阴道镜在宫颈病变诊断中的应用分析

目的分析比较TCT及阴道镜在宫颈病变中的应用价值。方法对310例TCT检查阳性的宫颈病变患者进行阴道镜检查，并在可疑病变区取多活检后送病理检查，比较TCT、阴道镜及病理组织学的诊断符合率。结果TCT诊断的ASCUS、LSIL、HSIL、SCC结果与病理组织学的阳性符合率分别为38．9％、77．5％、97．5％、100％，1例SCC病例的病理组织学结果为CINⅡ，无漏诊病例；阴道镜诊断的CINⅠ、CINⅡ、CINⅢ、浸润癌与病理组织学的阳性符合率分别为69．8％、91％、100％、95．7％，阳性符合率为88．7％，有1例CINⅡ和4例CINⅢ过度诊断为宫颈癌，有11例宫颈癌被阴道镜诊断为CINⅠ、CINⅡ、CINⅢ，尚有1例宫颈癌被诊断为慢性炎症。结论TCT与阴道镜在宫颈病变诊断中各有优劣，两者不能互相替代，而是互为补充，合理的联合应用可以提高宫颈病变的检出率。

Analysis of using thinprep cytologic test and colposcopy in cervical lesions

Objective To evaluate the value of thinprep cytologic test （TCT） and colposcopy applying in the diagno- sis of cervical lesions. Methods Applying colposcopy examination to 310 cases with positive results of TCT and doing pathological detection after biopsy. Results The pathological detection rates of ASCUS, LSIL, HSIL, SCC of TCT are 38.9%, 77.5% ,97.5%, 100% ,The diagnose accordance rate of TCT and pathological detection is 68.7%. The pathological detection rates of C IN I , CIN IT , CIN W and cervical carcinoma of colposcopy are 69.8% ,91% , 100% ,95.7%. The diagnose accordance rate of colposeopy and pathological detection is 68.7%. Conclusion TCT and colposcopy have different advantages and disadvantages. Two methods can not replace respectively. Combining TCT and colposcopy can improve the detection rates in cervical lesions.