16826例妇科患者宫颈细胞超薄细胞检测分析

Analysis on 16 826 cases of TCT of cervix uteri

[目的]通过对液基超薄细胞系统(TCT)的16826例标本结果分析,探讨宫颈癌的发病情况和筛查实验。[方法]利用妇科液基超薄细胞检测系统(TCT),对妇科子宫颈管刷取的细胞标本进行制片、固定、染色、显微镜检查;根据《子宫颈细胞学Bethesda报告系统》(TBS)判断标准,做出诊断。[结果]16826例标本中,发现1例鳞状细胞癌,占0.006%;2例CIN-3,占0.012%;12例CIN-2,占0.01%;391例CIN-1,占2.3%,其中263例为CIN-1HPV感染,占1.56%;有炎性反应性细胞改变的14410例,其中滴虫感染197例,占1.17%;霉菌感染388例,占2.3%;细菌感染156例,占0.9%;无上皮内病变或恶性瘤变的2001例,占11.2%;8例ASC-US占0.5%;1例AGUS,占0.006%。[结论]TCT和TBS系统能全面准确的反映宫颈病变情况。防止HPV感染,及时治疗及阻止CIN病变升级是防止宫颈癌和癌前病变的关键。

[Objective]To study and discuss carcinoma of cervix uteri by means of summarization and analysis based on 16826 subjects of TCT. [Methods]TCT was used to coat samples,fix,dye and microcheck based on the subject of the cell acquired from cervical canal;Diagonosis was made according to TBS. [Results]Among 16826 samples. 1 case of squamous cell carcinoma was found, accounting for 0. 006% ;2 cases of CIN-3, accounting for 0. 012 %;12 cases of CIN-2, accounting for 0. 01%;and 391 cases of CIN-1 were found, accounting for 2.3%;among them,263 were caese of CIN- 1HPV infection,accounting for 1.56%;197 cases of trichomonal infection, accounting for 1.17%;388 cases of candidal infection,accounting for 2.3 % ;156 cases of bacterial infection, accounting for 0.9% ;14 410 cases of inflammatory cell changing;2001 cases of cervical intraepithelial neoplasia, accounting for 11.2 % ; 8 cases of ASC-US, accounting for 0.5 % ; and 1 case of AGUS,accounting for 0. 006 %. [Conclusion]TCT and TBS can accurately and whollyreflect cervical lesion. In preventing HPV infection, curing and blocking the evolving of CIN is the key to preventing cervical cancer and precancer lesion.