TCT联合阴道镜在宫颈病变中的临床应用价值(1)
[摘要] 目的 探讨TCT联合阴道镜在宫颈病变中的临床应用价值。 方法 2012年1月～2014年7月对在我院妇科门诊就诊的3785例妇女进行液基薄层细胞学检测(liquid-based thinPrep cytology test，TCT)，然后对液基薄层细胞学阳性(ASCUS、AGCUS以上)患者行阴道镜检查，阴道镜结果异常者行阴道镜下宫颈活检。 结果 3785例TCT检查患者中，ASCUS及以上2067例，占54.6%。其中ASCUS 825例，ASC-H 691例，LSIL 315例，HSIL 207例。2067例TCT检查阳性患者，行阴道镜下检查，其中398例行阴道镜下宫颈活检，病理结果报告：慢性宫颈炎136例，ClNⅠ171例，CIN Ⅱ27例，CIN Ⅲ41例，鳞癌20例，腺癌3例，TCT联合阴道镜检查诊断准确率为65.8%。结论 TCT联合阴道镜检查能提高宫颈病变的诊断准确性，大幅减少活检率，降低漏诊率和误诊率，有利于宫颈癌的早期防治。
[关键词] TCT 阴道镜； 宫颈病变； 病理检查
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[中图分类号] R713 [文献标识码] B [文章编号] 1673-9701(2015)09-0038-03
Clinical applications of colposcopy combined with TCT in cervical lesion screening
ZENG Xianjing HUANG Sufen
Department of gynecology and obstetrics， Haicheng City Central Hospital in Liaoning Province， Haicheng 114200，China
[Abstract] Objective To study clinical application value of colposcopy combined with liquid-based thin prep cytology test(TCT) in cervical lesion screening. Methods TCT was employed to screen cervical lesion of 3785 women cases who came to our hospital to see their doctors from January， 2012 to July， 2014， then colposcopy was performed when the TCT revealed abnormal cervical lesions(grade above ASCUS，AGCUS)， and the biopsy based on colposcopy and pathological examination were performed on the positive cases in colposcopy. Results TCT results revealed that there were 2067 cases(54.6%) that their TBS grade were above ASCUS in 3785 cases， including 825 cases of atypical squamous cells of undetermined significance (ASCUS)，691 cases of atypical squamous cells cannot exclude high grade intraepithelial lesions(ASC-H).315 cases of low grade squamous intraepithelial lesions(LSIL)，207 cases of high grade squamous intraepithelial lesion(HSIL). Colposcopy were performed on the abnormal 2067 cases， and among them 398 abnormal cases were examined by the biopsy based on colposcopy and pathological examination. Examination results showed that there were 136 cases of chronic cervicitis， 171 cases of CINⅠ， 27 cases of CIN Ⅱ， 41 cases of CIN Ⅲ， 20 cases of squamous cell carcinoma (SCC)， 3 cases of adenomatous carcinoma. The total consistent rates of diagnosis between colposcopy combined with TCT and pathological examination were 65.8%. Conclusion Clinical applications showed that colposcopy combined with TCT could improve diagnostic rates， drastically reduce amount of biopsy， decrease rates of missed diagnosis and misdiagnosis and benefit early prevention of treatment of cervical cancers.
[Key words] TCT colposcopy； Cervical lesion； Pathological examination, 百拇医药(曾宪静 黄素芬)
[关键词] TCT 阴道镜； 宫颈病变； 病理检查
, http://www.100md.com
[中图分类号] R713 [文献标识码] B [文章编号] 1673-9701(2015)09-0038-03
Clinical applications of colposcopy combined with TCT in cervical lesion screening
ZENG Xianjing HUANG Sufen
Department of gynecology and obstetrics， Haicheng City Central Hospital in Liaoning Province， Haicheng 114200，China
[Abstract] Objective To study clinical application value of colposcopy combined with liquid-based thin prep cytology test(TCT) in cervical lesion screening. Methods TCT was employed to screen cervical lesion of 3785 women cases who came to our hospital to see their doctors from January， 2012 to July， 2014， then colposcopy was performed when the TCT revealed abnormal cervical lesions(grade above ASCUS，AGCUS)， and the biopsy based on colposcopy and pathological examination were performed on the positive cases in colposcopy. Results TCT results revealed that there were 2067 cases(54.6%) that their TBS grade were above ASCUS in 3785 cases， including 825 cases of atypical squamous cells of undetermined significance (ASCUS)，691 cases of atypical squamous cells cannot exclude high grade intraepithelial lesions(ASC-H).315 cases of low grade squamous intraepithelial lesions(LSIL)，207 cases of high grade squamous intraepithelial lesion(HSIL). Colposcopy were performed on the abnormal 2067 cases， and among them 398 abnormal cases were examined by the biopsy based on colposcopy and pathological examination. Examination results showed that there were 136 cases of chronic cervicitis， 171 cases of CINⅠ， 27 cases of CIN Ⅱ， 41 cases of CIN Ⅲ， 20 cases of squamous cell carcinoma (SCC)， 3 cases of adenomatous carcinoma. The total consistent rates of diagnosis between colposcopy combined with TCT and pathological examination were 65.8%. Conclusion Clinical applications showed that colposcopy combined with TCT could improve diagnostic rates， drastically reduce amount of biopsy， decrease rates of missed diagnosis and misdiagnosis and benefit early prevention of treatment of cervical cancers.
[Key words] TCT colposcopy； Cervical lesion； Pathological examination, 百拇医药(曾宪静 黄素芬)