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目的探讨宫颈液基薄层细胞学(TCT)结合阴道镜检查在宫颈病变筛查中的临床意义。方法对854例已婚妇女进行宫颈液基薄层细胞学检测,对宫颈细胞学异常者行阴道镜检查及活组织检查。结果 854例TCT检测的患者中,宫颈病变发生率达81.9%,其中良性病变482例,占69%,宫颈上皮内病变217例,占25.4%,对217例宫颈细胞学异常者进行阴道镜下活检与组织病理学诊断比较,符合率为88.7%。宫颈上皮内病变高发年龄为30-40岁,占35.5%。结论 TCT技术在宫颈病变的诊断中,具有简便、实用,准确率高的特点,配合阴道镜检查能及时发现宫颈早期病变,是防止宫颈癌的关键。
Objective To investigate the clinical significance of cervical smear-cytology (TCT) combined with colposcopy in the screening of cervical lesions. Methods A total of 854 married women underwent cervical cytology thin layer cytology. Colposcopy and biopsy were performed on cervical cytology. Results Among the 854 TCT patients, the incidence of cervical lesions was 81.9%, of which 482 were benign lesions, accounting for 69%. 217 cases were cervical intraepithelial lesions, accounting for 25.4%. 217 cases of cervical cytology were under colposcopy Biopsy and histopathological diagnosis, the coincidence rate was 88.7%. Cervical intraepithelial lesions in the high incidence of 30-40 years old, accounting for 35.5%. Conclusions TCT is a simple, practical and accurate method for the diagnosis of cervical lesions. Combined with colposcopy, early detection of early cervical lesions is the key to prevent cervical cancer.