液基非妇科细胞学尿TCT检测在健康体检中的作用

Observation and analysis of non-gynecology TCT (urine TCT) used in health examination

目的观察尿超薄TCT检测在男性健康体检中的作用。方法247例男性体检,送检新鲜尿液50ml,应用新柏氏薄层细胞学检测系统(Thinprep cytologic test,TCT)液基涂片进行检查,对结果进行分析。镜下所见包括:有无癌细胞或可疑瘤细胞、非典型细胞、炎性细胞、微生物。结果247例健康男性TCT尿检均未发现瘤细胞。检出炎细胞及红细胞、微生物等共89例,占36%,其中检出炎性细胞77例,占31.1%,包括小于30岁1例,30-40岁6例,41-50岁36例,51-60岁34例,(77例包括检出真菌1例,球、杆菌10例,炎性细胞及乳头红细胞混合21例);检出红细胞10例,包括30-40岁2例,41-50岁4例,51-60岁4例;以及检出乳头状尿路上皮细胞2例,包括46岁1例,58岁1例;结论尿超薄细胞学检测TCT结果判读可及时预报受检者健康状态,对泌尿系统肿瘤、疾病做到早预警、早发现、早诊断、早治疗,给男性泌尿系统亚健康人群提供诊治依据。

Objective To observe and study the role of urine TCT in male＇ s health examination. Methods 50 ml fresh urine per capita from 247 health examination male cases were detected by Thinprep cytologic test and the results were analyzed. Findings in microscope included malignant cell, doubtful malignant cell, atypical cell, inflammation cell, micro -organism. Results Urine TCT of 247 health male cases were not found turner cells. 89 cases were found inflammation cells, red cells and micro - organism. Among these cases, 77 cases had inflammation cells （31.1% in the all） , 1 case was less than 30 years old, 6 cases were 30 -40 years old, 36 cases were 41 - 50 years old, 34 cases were 51 - 60 years old （ 1 case had eumycete, 10 cases had bacillus and eoccobacteria, 21 cases had inflammation cells and red cells）. 10 cases were found red cells. Among these cases, 2 cases were 30 - 40 years old, 4 cases were 41 - 50 years old, 4 eases were 51 - 60 years old. 2 cases were found papilla urothelium cells, and 1 case was 46 years old, 1 case was 58 years old. Conclusion Urine TCT maybe help to diagnose deuto- healthy male＇s urinary system diseases with early warning, early discovery and early diagnosis.