3008例已婚妇女宫颈癌筛查结果分析

Analysis of the results of 3008 cases of married women in cervical cancer screening

目的:分析液基薄层细胞学检查(TCT)在宫颈癌筛查中的应用价值。方法:回顾性分析3 008例已婚妇女进行宫颈癌筛查情况,采用TCT检查初筛,结果中ASC-US及ASC-US以上者定为阳性,阳性患者行HPV-DNA检查、阴道镜及宫颈活检。结果:3 008例TCT阳性者219例(7.28%),其中ASC-US 183例(83.56%),ASC-H 3例(1.37%),LSIL 25例(11.42%),HSIL 6例(2.74%),SCC 0例(0.00%),AGC 2例(0.91%),AC 0例(0.00%);201例行HPV-DNA检查(91.78%),感染者为阳性127例(63.18%);201行阴道镜及宫颈活检(91.78%),炎性改变157例(78.10%),CINI 18例(8.96%),CINII14例(6.97%),CINIII 9例(4.48%),SCC 3例(1.49%),AC 0例(0.00%)。结论:TCT可以显著提高宫颈细胞学检查的阳性率,可以作为宫颈癌筛查的重要手段。

Objective analysis of liquid based thinprep cytologic test （ TCT ） in the value of cervical cancer screening applica- tion. Method A retrospective analysis of 3008 cases of married women in cervical cancer screening in 2011 from April to July in the re- gion. The TCT screening results,ASC -US and ASC -US above as a positive,the positive cases were examined by HPV -DNA,colposcopy and cervical biopsy. Results 3008 cases of TCT were positive in 219 patients （ 7.28% ）, including 183 cases of ASC - US （ 83.56% ）, ASC - H 3cases （ 1.37% ）, LSIL 25 cases （ 11.42% ）, HSIL 6 cases （2.74%）, SCC 0 cases （ 0% ）, AGC 2 cases, AC 0 cases （0. 91% ） （0%）. 201 examinations of HPV - DNA （91.78%） ,infected was positive in 127 patients （63. 18% ）. 201 lines of colposcopy and cervical biopsy （91.78%） ,inflammatory changed in 157 cases （78. 10% ）, CINI 18 cases （8.96%）, CINII 14 cases （6.97%）, CINIII 9 cases （4. 48% ）, SCC 3 cases, AC 0 cases （ 1.49% ） （0%）. Conclusion TCT can significantly improve the positive rate in the cervical cytology examination, and it can be used as an important means of cervical cancer screening.