宫颈非典型鳞状细胞不能明确意义的临床管理

Clinical management of atypical squamous cell of undetermined signification in cervical cytology

目的:分析宫颈细胞学中非典型鳞状细胞不能明确意义的组织病理学结果与随访情况,探讨其临床意义和管理。方法:收集2005年1月～2009年12月河北北方学院附属第一医院妇科诊治的患者中非典型鳞状细胞不能明确意义的临床资料、病理诊断结果并统计分析。结果:非典型鳞状细胞不能明确意义组织病理学检查阳性率10.07%,重复细胞学检查阳性率7.7%,活检和随访结果间差异无统计学意义。结论:非典型鳞状细胞不能明确意义存在上皮内病变风险,活检与随访有效性一致,临床应根据患者的具体情况给予恰当的处理。

Objective：To analyze the histopathology consequences and follow-up survey of atypical squamous cell of undetermined signification（ASCUS） in consequences of cervix TCT,and to approach the clinical purport. Methods：Retrospective the clinical data of atypical squamous cell that undetermined signification that received treatment from Jan.2005 to December 2008 in council,collecting pathology consequences and statistical and analysis them. Results：The positive rate of atypical squamous cell of undetermined signification was 10.07%,the positive rate of repeat cytology was 7.7%.The difference between exactly examination of ASCUS and follow-up survey was inconspicuousness. Conclusion：Atypical squamous cell of undetermined signification exists SIL risk,the effectiveness of exactly examination and follow-up survey is identical.The clinical should give proper treatment and follow-up survey for the patients needs.