TCT与巴氏细胞学在诊断宫颈病变的对比研究

Comparative Study on TCT and Pap Smear in Diagnosis of Uterus Cervical Lesion

目的提高子宫颈病变检出率。方法将256例慢性宫颈炎患者随机分成两组：TCT组136例,巴氏组120例,比较两组对宫颈病变检出率。结果TCT组子宫颈上皮瘤（CIN）Ⅰ级检出11例,占8.82%;巴氏组CINⅠ级检出3例,占2.50%,两组检出率有显著差异（P〈0.05）;TCT组Ⅱ-Ⅲ级检出7例,占5.14%;巴氏组CINⅡ-Ⅲ级检出2例,占1.66%,两组检出率比较有显著差异（P〈0.05）。TCT组标本满意率为91.91%,巴氏组满意率71.66%,两组比较有极显著差异（P〈0.01）。结论TCT可替代巴氏染色法,以减少漏诊,提高宫颈病变确诊率。

Objective To improve the detective rate of uterus cervical lesion. Methods 256 cases of chronic cervicitis were divided into two groups randomly. TCT group （136 cases） and Pap smear group （120 cases ）. The results were compared. Results The CIN in stage Ⅰ was detected 11 cases in TCT group and 3 cases in P group. The CIN in stage Ⅱ - Ⅲ was detected 7 cases in TCT group and 2 cases in P group with significant difference P 〈 0.05. The satisfactory rate was 91. 91% in TCT group and71.66% inPgreupP 〈0.01. Conclusion The TCT might instead of Pap smear to improve the detective rate of uterus cervical lesion.