阴道镜检查结合宫颈细胞学ASCUS检查在排除宫颈癌方面的意义

Significance of Colposcopy Inspection Combined with ASCUS Cervical Cytology Test to Exclude Cervical Cancer

目的：探讨阴道镜检查结合宫颈细胞学ASCUS检查的临床运用价值。方法：对2009年4月至2012年4月在内蒙古民族大学附属医院门诊行宫颈液基细胞学检查（TCT）者8500例。结果回报为ASCUS的640例患者行阴道镜检查，302例阴道镜诊断为宫颈上皮内瘤变，取活检并送病理，338例阴道镜检查为慢性炎症，给予阴道上药3个月，3个月后复查宫颈TCT，8例仍为ASCUS，在阴道镜下取活检送病理检查，剩余的330例复查阴性者定期复查。结果：310例取活检的患者，检出CINI-III级165例，宫颈癌5例，慢性炎症140例；330例随访3~24个月，复查宫颈细胞学无明显异常，减少宫颈活体组织检查的损伤几率。结论：对于基层医院，阴道镜结合宫颈细胞学可有效地排除宫颈癌，减少宫颈活体组织检查的损伤。

Objective:To analyze the clinical application value of colposcopy inspection combined with cervical cytolo-gy test of atypical squamous cell of undetermined signification (ASCUS). Methods:8500 outpatients in Affiliated Hos-pital of Inner Mongolia University for Nationalities underwent cervical Thinprep cytology test (TCT) from April 2009 to April. 640 patients were diagnosed as ASCUS and were inspected by colposcopy. Among them, 302 patients were diag-nosed as cervical intraepithelial neoplasia (CIN) and underwent biopsy and pathological examination. 338 patients were diagnosed as normal or chronic inflammation. They were treated with drugs via vagina for 1to 3 months and reexamined by cervical TCT. 8 patients still were ASCUS and were biopsied under the colposcopy. The rest 330 cytological negative cases were followed up by cytology. Results:In 310 biopsy patients, 165 cases were diagnosed with CINI-Ⅲ, 5 cases with cervical cancer. The rest 330 cytological negative cases were followed up by cytology for 3 to 24 months, no abnor-mal findings occur and reduce the cervical damage of biopsy. Conclusion:For the primary hospitals, colposcopy in-spection combined with cytology examination can effectively exclude cervical cancer and reduce cervical damage of bi-opsy.