宫颈液基薄层细胞学检查在异常子宫出血诊治中的价值

Thinprep Cytology Test in the Diagnosis and Treatment of the Abnormal Uterine Bleeding

目的 探讨宫颈液基薄层细胞学检查（TCT）在异常子宫出血（AUB）诊治中的价值.方法 将门诊符合纳入标准的AUB患者281例,首选TCT检查,进行针对性治疗.未愈者进一步宫腔镜检查,病理最后确诊,随访1.5～3年.结果 281例TCT检查发现放线菌感染38例,炎症51例,雌激素异常100例,子宫内膜不典型增生2例,子宫内膜癌5例.TCT检查总阳性率65.1%.以TCT为依据,治愈率66.2%.症状反复95例,宫腔镜进一步检查,良性病变占97.1%,诊断不符35例.结论 在AUB的诊治中,其它无创检查结果阴性时,TCT可列为首选,该方法能提高治愈率,减少有创检查的比例.

Objective To explore the value of thinprep cytology test （TCT） in the diagnosis and management of the abnormal uterine bleeding（AUB~. Methods Two hundred and eighty -one cases with AUB in this study were outpatients of Weifang Government＇s Hospital. All the patients were given TCT and then given special therapy. The uncured cases were given further hysteroscopy and a definite diagnosis was made based on pathology. All patients were followed up for 1.5 years to 3 years after treatment. Results In all cases,38 cases were actinomycosis,51 got nonspecif- ic inflammation, 100 had abnomal estrogen,2 had atypical endometrium hyperplasia,5 had endometrial carcinoma. The positive rate of TCT was 65.1%. The cure rate was 66.2% referred as the results of TCT. 95 cases were not completely cured and further hysteroscopy was given. Thirty - five cases were misdiagnosed. Conclusion TCT can be as the first choice for patients with AUB when other noninvasive test results were negative. TCT can reduce the invasive examination rate and improve the cure rate.