宫颈细胞学诊断ASCUS的不同处理方法的临床观察

ASCUS Atypical Squamouscells of Undeterminded Significance the Clinical Obsertion of Aniso-disposal Methods Diagnosing ASCUS by Cervical Cytology

目的:诊断评价宫颈细胞学诊断意义不明的不典型细胞(ASCUS)的临床意义。方法:分析2002年1月到2004年12月在本院行宫颈细胞学检查,按照TBS标准,3216例患者中诊断ASCUS250例,随访205例患者的阴道镜+活检,及复查宫颈抹片结果分析。结果:ASCUS伴炎症患者SIL检出率12%,ASCUS无伴炎症者SIL检出率7.1%,ASCUS伴有类似湿疣样病变,SIL检出率34.2%,AS-CUS伴不除重度非典型增生,SIL检出率51.6%。结论:宫颈细胞学诊断ASCUS的患者临床上根据实验室形态学的指引进行进一步处理是可行的。

Objective： To diagnose and evaluate clinical significance, which ASCUS was diagnosed by cervical cytology. Method： Analyse 250 ASCUS cases were diagnosed in 3216 cases of patient from 2002.1 to 2004.12. who were checked by cervical cytology and followed - up, biopsy under colposecope, review cervical smear. Result： SIL finded out in ASCUS with inflammation were 12%, in ASCUS no with inflammation were 7.1%, in ASCUS with resemble condyloma were 51.6%. Conclusion： It is feasble to patients with ASCUS diagnosed by cervical cytology that more treatments are applied on the basis of lab morphologic.