2014例宫颈细胞应用TCT检测结果分析

Analysis of TCT findings in 2014 patients

目的：研究液基薄层细胞学（TCT）技术在宫颈癌和癌前病变筛查中的应用价值.方法：利用Thinprep2000系统程序化处理并制片后,HE染色,电镜检呈细胞学阳性者行阴道镜检查及病理活检.结果：2 014例病例中,有异常细胞者146例异常率达到7.25%,高度鳞状上皮病变（HSIL）的病理阳性率达到91.7%,低度鳞状上皮病变（LSIL）的病理阳性率达到86.7%,鳞状细胞癌（SCC）病理符合率100%.有28.6%的HSIL患者年龄在20-30岁.结论：TCT是一种有效的宫颈癌和癌前病变的筛查技术,同时在其他方面也有一定的应用价值,而且统计发现患者呈现年轻化.

Objective：To assess the value of thin-prep cytological test （TCT） in diagnosis of cervical cancer and screen of precancerous lesions. Methods： HE staining was performed after progressing Thinprep2000 and preparing cell sheets. The cytological positive ones were further examined with colposcopy and biopsy, l^esults：In 2014 cases, the abnormal incidence was 7.25%. Positive rates of HSIL and LSIL were 91. 7% and 86.7% respectively,and the pathological coincidence rate of SCC was 100%. Moreover,28.5% HSIL patients were 20 to 30 years old. Conelusion：TCT was effective in screening cervical cancer and precancerous lesion, and it also could be used in other fields. According to our statistics,we find the patients are trending to be a younger group.