摘要
目的评价巴氏涂片对宫颈病变的诊断价值。方法回顾性分析12886例患者的宫颈巴氏涂片结果，并结合阴道镜检查及组织病理活检，以病理活检结果为金标准进行对比分析。结果12886例普查患者中，阳性（巴氏Ⅲ～Ⅴ级）病例为945例，阳性率为7．33％。945例宫颈巴氏涂片阳性患者中，有832位患者回院复诊并成功对其进行阴道镜检查下组织病理活检。组织病理活检阳性（HPV感染或CIN1以上）共634例，总阳性率为76．20％。其中HPV感染或CIN1为414例，占49．76％。CIN2为134例，占16．11％。CIN3为57例，占6．85％。宫颈癌29例，占3．49％。结论宫颈巴氏涂片作为一种简便、快捷、经济、有效的筛查方法在现在医疗实践中仍不失为一种较适当的宫颈病变的筛查手段，与阴道镜检查及组织病理活检相结合能明显提高结果的准确率。
Objective To assess the advantage of tranditional microscopic pap＇s smears in the diagnosis of cervical diseases. Methods 12886 cases received tranditional microscopic pap＇s smears. Some of the cases underwent colposcopy and pathological examination. Result The positive rate of pap＇s smears was 7.33%（945/12886）. 832 cases of the positive pap＇s smears patients underwent pathological biopsy. And the coincident rate to pathological biopsy was 76.20%（643/832）. The infection of HPV or CINI was 49. 76%（414/832）, CINII was 16.11%（134/832）, CINIII was 6.85%（57/832）, cervical cancer was 3.49%（29/832）. Conclusion Tranditional microscopic pap＇s smears was simple, fast and economic in screen of cervical abnormal cells. It increases the positive rate of colposcopy and pathological examination.
出处
《国际医药卫生导报》
2007年第10期87-89,共3页
International Medicine and Health Guidance News
关键词
宫颈巴氏涂片
宫颈病变
tranditional microscopic pap＇s smears, cervical lesions
