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目的 探讨VCE取材 [取材顺序 :阴道侧壁上 1 /3(V)、宫颈鳞 柱细胞交界处 (C)、宫颈管 (E) ]、TBS描述性报告对诊断子宫内膜癌、卵巢癌的重要性。方法 1 998年 6月至 2 0 0 3年 5月对 4 84 0例门诊患者进行妇科细胞学检查 ,行VCE取材、TBS描述性报告与以往单纯宫颈刮片、巴氏 5级报告对比 ,并对部分报告异常的患者跟踪随访。结果 4 84 0例患者检出子宫颈鳞癌 5 0例 (占 1 0 3% )、腺癌 1 5例 (占 0 31 % ,包括宫颈腺癌 1 0例、子宫内膜癌 4例、卵巢癌 1例 ) ,检出重度鳞状上皮内病变 30例 (占 0 6 2 % )、轻度鳞状上皮内病变 4 3例 (占0 89% )、不典型鳞状细胞性质未定 4 5例 (占 0 93% )、不典型腺细胞性质未定 6例 (占 0 1 2 % )、炎症 36 5 3例 (占75 4 8% )、正常 998例 (占 2 0 6 2 % )。结论 VCE取材、TBS描述性报告与单纯宫颈刮片、巴氏 5级报告对比 ,此方法除了在子宫颈癌及癌前病变的早期筛查有重要意义之外 ,对子宫内膜癌、卵巢癌的诊断也起着重要的辅助作用。
OBJECTIVE: To investigate the effect of VCE on the diagnosis of endometrial cancer and ovarian cancer by using TBS descriptive report (VCE) [material order: 1/3 (V) on the vaginal wall, cervical squamous cell junction (C), cervical canal importance. Method 1 From June 1998 to May 2003, 4,840 outpatients were examined by gynecological cytology and VCE. The TBS descriptive report was compared with the previous reports of cervical smears and grade 5 Papua. Some patients with abnormal reports were followed up. Results 4 84 0 cases of cervical squamous cell carcinoma (103%) were detected, 15 cases of adenocarcinoma (0 31%), including 10 cases of cervical adenocarcinoma, 4 cases of endometrial carcinoma, 1 case of cancer), 30 cases of severe squamous intraepithelial lesion (0 6 2%), 43 cases of mild squamous intraepithelial lesion (0 89%) and 4 cases of atypical squamous cell undetermined (Accounting for 0 93%), untreated glandular cells in 6 cases (accounting for 0 1 2%), inflammation in 36 53 cases (75 4 8%) and normal 998 cases (20 6 2%). Conclusions VCE and TBS descriptive reports are compared with simple Pap smear and Papanicum grade 5 report. This method not only has important significance in the early screening of cervical cancer and precancerous lesions, but also has an important effect on endometrial cancer, ovarian cancer The diagnosis also plays an important supporting role.