液基细胞学和阴道镜检查在诊断宫颈病变中的应用
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[摘要] 目的 探讨液基细胞学和阴道镜检查在诊断宫颈病变中的应用价值。方法 选取698例患者,液基细胞学检查TBS分类系统对宫颈病变的诊断,并在阴道镜下取多点进行病理学检查。结果 液基细胞学检查发现异常细胞698例,其中未明确诊断意义的不典型鳞状细胞或腺细胞(ASCUS或AGCUS)38例,诊断为低度鳞状上皮内瘤变(LSIL)134例,高度鳞状上皮内瘤变(HSIL)40例,鳞癌105例,人乳头状瘤病毒(HPV)感染381例。结论 液基细胞学和阴道镜检查在诊断宫颈病变中有显著的应用价值。
[关键词] 液基细胞学;阴道镜;宫颈病变;诊断;人乳头状瘤病毒(HPV)感染
[中图分类号] R737.33 [文献标识码] A [文章编号] 1673-9701(2010)04-01-03
Liquid-based Cytology and Colposcopy in the Diagnosis of Cervical Lesions
HUANG XiaoxingHUANG ShiyongCHEN Yingyan
1. Department of Pathology,Yangjiang Municipal People’s Hospital,Yangjiang 529500,China;2. Department of Gynecology,the Yangjiang Municipal People’s Hospital,Yangjiang 529500,China
[Abstract] Objective To explore the diagnostic value of liquid based cytology test(LCT) combined with colposcopy in scanning cervical disease. Methods LCT and Besthesda system(TBS) were used in the diagnosis of 698 cases of cervial lesions and the pathological examination was performed under colposcopy by using multi-point biopsy. Results LCT revealed 698 cases of abnormal cells, in which 38 cases were atypical squamous cells or glandular cells of undetermined significance,134 cases of low-grade squamous intraepithelial neoplasia,40 cases of high-grade squamous intraepithelial neoplasia,105 cases of squamous carcinoma,and 381 cases of human papilloma virus infection ......
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