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[目的]探讨初善仪(TS)联合薄层液基细胞学检查(TCT)在宫颈病变中的应用价值。[方法]对阴道分泌物异常的30例患者同时行TS和TCT检查,再行阴道镜检查及组织活检,以组织病理学检查结果作为诊断金标准。[结果]TCT检测阳性19例,阴性11例,TCT的敏感度为64.0%(16/25)。TS检测正常12例,异常18例,TS的敏感度为56.0%(14/25)。TCT联合TS检测阳性27例,阴性3例,两者联合检测敏感度为96.0%(24/25),显著性高于TCT、TS单一检测的敏感度(P<0.05)。TS联合TCT检测与病理学检查的阳性率具有一致性(χ2=0.25,P>0.05)。[结论]TS联合TCT检查对宫颈病变的诊断准确率高于任一单项检查。
[Objective] To explore the value of the combination of the first age instrument (TS) and thin-section liquid-based cytology (TCT) in cervical lesions. [Methods] Totally 30 patients with abnormal vaginal discharge were examined with TS and TCT simultaneously. Colposcopy and biopsy were performed again. The histopathological examination was taken as the gold standard for diagnosis. [Results] The positive results of TCT were 19 cases and 11 cases negative, the sensitivity of TCT was 64.0% (16/25). TS was detected in 12 cases of normal, abnormal 18 cases, TS sensitivity was 56.0% (14/25). The combined detection of TCT and TS was positive in 27 cases and negative in 3 cases. The sensitivity of combined detection was 96.0% (24/25), which was significantly higher than that of TCT and TS (P <0.05). The positive rates of TS combined with TCT and pathological examination were consistent (χ2 = 0.25, P> 0.05). [Conclusion] The accuracy of TS combined with TCT in the diagnosis of cervical lesions is higher than that of any single examination.