中国当代医药2015,Vol.22Issue(34):34-36,39,4.
液基细胞学、宫颈刮片联合阴道镜在宫颈病变筛查中的应用
Application of thinprep cytology test and cervical smear combined with colposcope in screening of cervical lesions
江明珠1
作者信息
- 1. 南京江宁区妇幼保健所妇保科,南京 211100
- 折叠
摘要
Abstract
Objective To discuss the application value of thinprep cytology test(TCT) and cervical smear combined with colposcope in screening of cervical lesions. Methods 1726 cases of female patients (outpatient group) visited outpatient clinic in our hospital from January 2014 to April 2015 and 26 021 cases of rural women (rural group) receiving cervical cancer screening were selected as research object.Two groups were diagnosed by TBS classification,and those with pos-itive cytologic results were further examined by colposcope and histopathological examination.The cytologic screening results in two groups were analyzed by different methods, the colposcope and histopathologic results of patients with positive cytologic results were observed. Results There was significant difference in positive rate of cytologic results be-tween two groups (X2=86.56,P<0.05).There were no significant differences in abnormal rate of colposcope and positive rate of histologic between two groups (P>0.05).The gold standard was diagnosed by histopathology.The total of cervical precancerous lesions and cervical cancer (CIN+SCC),colposcope diagnosis coincidence rate was 90.14%(128/142),and cytology diagnosis coincidence rate was 70.73%(87/123). Conclusion The TCT method is better than the the conven-tional cervical smear method.The joint application colposcope and histopathological examination can evidently improve the detection rate of cervical precancerous lesions and cervical cancer.关键词
液基细胞学/宫颈刮片/阴道镜/宫颈病变Key words
Thinprep cytology test/Cervical smear/Colposcope/Cervical lesions分类
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江明珠..液基细胞学、宫颈刮片联合阴道镜在宫颈病变筛查中的应用[J].中国当代医药,2015,22(34):34-36,39,4.