超薄液基细胞学检测产后妇女早期宫颈病变

Liquid based thin layer cytologic preparation in early detection of cervical lesions among postpartum women

目的探讨超薄液基细胞学（LBP）检测法在产后妇女宫颈病变早期防治中的优势。方法分析产后宫颈病变发病情况,并对其筛查诊断报告方法进行回顾性分析。回顾总结2006年9月至2009年1月自愿接受宫颈涂片检查的产后42~56 d的妇女共581例,同时应用LBP检测法与传统宫颈涂片两种方法检查,并分别用TBS分类和巴氏分类报告方式,对LBP和传统涂片异常细胞发现的61例和48例行病理检查。结果581例中,LBP检查与病理检查符合率为94.70%,传统宫颈涂片与病理检查符合率为82.35%,两组比较,差异有统计学意义（χ2=4.17,P〈0.05）。结论宫颈炎是产后妇女宫颈病变的常见病与多发病,产后康复检查是早期防治妇女宫颈病变的有效途径,LBP检测法在产后妇女宫颈病变早期防治中较传统检查方法有明显优势。

Objective To evaluate the diagnostic value of liquid based thin layer cytologic preparation（LBP）in early detection of cervical lesions in postpartum women.Methods The test results were retrospectively analyzed to investigate the diagnostic value of the LBP in detecting cervical lesions.A total of 581 cervical smear specimens were tested by LBP and conventional cytology,then were classified by the Bethesda System and Papanicolaou Classification System.Specimens with positive result were confirmed by pathological diagnosis.Results 94.7% of LBP test results were confirmed by pathological examination,while only 82.35% of the results by conventional cytology were consistent with the results of pathological examination.The sensitivity of LBP was significant higher than that of the conventional test in detecting cervical lesions（P0.05）.Conclusion Cervicitis was the most frequently occurred disease in cervical lesions among postpartum women.LBP could provide more accurate detection than the conventional method in diagnosis of cervical lesions.