对子宫颈ASC-US患者的组织病理学观察

Histopathologic Observation and Clinical Management of the Patients with Cervical ASC-US

目的:观察非典型鳞状细胞(Atypicai squamous cell of undetermined signifiance,ASC-US)患者的组织病理学特点并探讨其临床进一步处理方案。方法:ASC-US患者子宫颈细胞学检查用TCT方法取材,使用2001版TBS报告系统报告,并在阴道镜下取活组织送病理学检查。结果:44例ASC-US患者轻度异型增生(CINⅠ)4例,占9.1%;中度异型增生(CINⅡ)2例,占4.6%;重度异型增生(CINⅢ)2例,占4.6%。结论:子宫颈ASC-US患者绝大多数是慢性炎症,有少部分患者已经存在子宫颈上皮内瘤变,ASC-US患者的临床处理宜常规行阴道镜检查,对阴道镜下不满意的患者取活组织送病理检查。

Objective：To observe the histopathologic characters and to research the clinical management in patients with cervical ASC-US.Methods：took cervical cytological examination with TCT method and diagnosed according to 2001 version the Bethesda System,the patients of cervical ASC-US had vaginoscopy and biopsy.Results：44 cases were checked up with vaginoscopy and biopsy,the cervical intra-epithelial neoplasm gradeⅠwere 4 cases and the rate was 9.1%,gradeⅡ and grade Ⅲ each was 2 cases and the rate was 4.6%.Conclusion：The cervical chronic inflammation is major type in the patients of cervical ASC-US,there is less cervical intra-epithelial neoplasm in the patients of cervical ASC-US,the patients with ASC-US are fit of making vaginoscopy and the patients who can not be diagnosed with vaginoscopy should take biopsy and pathology examination.