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目的:评价薄层液基细胞学检查联合阴道镜检查在门诊宫颈普查中的应用价值。方法:选择160例门诊宫颈普查妇女,均行薄层液基细胞学检查、阴道镜检查及宫颈活检病理检查,以宫颈活检病理检查结果为标准,对上述检查结果进行对比分析。结果:随着宫颈活检结果分级的增加,上述两种检查方法符合率也随着提高,两者呈正相关(P<0.01);两种检查方法联合检查,可提高阳性检出率。结论:门诊宫颈普查中,应采用薄层液基细胞学联合阴道镜检查的方式,对提示高级别病变受检者,应行宫颈活检病理检查。
Objective: To evaluate the value of thin-layer liquid-based cytology combined with colposcopy in out-patient cervical screening. Methods: A total of 160 women undergoing outpatient cervical screening were enrolled. Thin-section liquid-based cytology, colposcopy and cervical biopsy were performed. The results of cervical biopsy were taken as the standard to compare the above results. Results: With the increase of classification of cervical biopsy results, the coincidence rate of the above two methods also increased with the increase (P <0.01). The combination of the two methods could improve the positive detection rate. Conclusions: Out-patient cervical screening should be based on thin-liquid-based cytology combined with colposcopy, suggesting that patients with high-grade lesions should undergo cervical biopsy.