液基薄层细胞学检查与巴氏涂片法的比较分析

Comparison and analysis of liquid-based thinprep cytologic test and conventional smear

目的 :回顾性分析液基薄层细胞学 (TCT)与巴氏涂片法在宫颈病变检测中的阳性率和准确率。方法 :妇科门诊中 62 8例接受TCT ,92 7例接受巴氏涂片检测 ,细胞学诊断采用TBS分级系统。宫颈病变包括ASCUS以上病变及HPV等特殊感染。诊断结果与宫颈活检组织学对比。结果 :TCT 62 8例中宫颈病变检出 98例 ( 14 .45 % ) ,巴氏涂片 92 7例中只有 2 7例 ( 2 .9% )。组织学检测宫颈癌、CIN2、CIN3符合率10 0 % ,CIN1符合率 91.43 %。结论 :TCT检测宫颈病变优于巴氏涂片法。

Objective:Analysed retrospectively the positive ratio and the accuracy of liquid-based thinprep cytologic test and conventional smear in detecting cervical lesions.Methods:Comparing diagnostic results with cervical samples histology test. Cervical lesions include lesions serious than ASCUS and special infections such as HPV. 628 cases were detected by TCT, and 927 cases by conventional smear in gynecologic inspection. TBS classifying system was applied in cytologic diagnosis. Results:98 cases were found out of 628 cases TCT detecting (14.45%), and 27 cases out of 927 cases conventional smear detecting (2.9%). All the cytologic diagnosis for cervical cancer, CIN2 and CIN3 were validated by histology test.Conclusion:The thinprep cytologic test is much better than conventional smear in detecting cervical lesions.