摘要
目的:探讨与分析宫颈液基细胞学(TCT)与巴氏涂片在宫颈病变检查中的应用价值。方法:选择2009年3月~2011年3月来我院妇科予以常规细胞学筛查的255例患者为研究对象,其中130例患者予以宫颈液基细胞学检查作为TCT组,125例患者予以巴氏涂片检查作为对照组,比较两组诊断差异。结果:TCT组的灵敏度、特异度、诊断符合率分别为92.59%、81.63%、88.46%,而对照组则为77.03%、49.02%、65.60%,两组经比较均P<0.01。TCT组检查CIN的灵敏度、特异度、诊断符合率分别为81.25%、92.68%、88.46%,而对照组则为42.86%、76.32%、63.20%,两组经比较均P<0.01。TCT组检查SCC的灵敏度、特异度、诊断符合率分别为100%、100%、100%,而对照组则为50%、98.37%、97.60%,两组经比较均P>0.05。结论:TCT检查宫颈病变优于巴氏涂片检查,是筛查宫颈病变的最有效方法,值得临床推广运用。
Objectives: To investigate and analyze the application value of thin -prep cytology test and Pap smear in the examination of cervical lesions. Methods: 255 patients who came to our hospital from March 2009 to March 2011 were divided into two groups: TCT group (130 patients detected by thin -prep cytology test) and control group (125 patients detected by Pap smears). Their diagnoses were compared. Results: In TCT group, the sensitivity, specificity, diagnostic accordance rates were 92. 59%, 81.63%, 88. 46%, respectively, while in the control group they were 77.03%, 49.02%, 65.60%, respectively. CIN sensitivity, specificity, diagnostic accordance rates of TCT group were 81.25%, 92. 68%, 88.46%, respectively, while in the control group they were 42. 86%, 76. 32%, 63. 20%, respectively. SCC sensitivity, specificity, diagnostic accordance rates of TCT group were 100%, 100%, 100%, respectively, while in the control group they were 50%, 98.37%, 97.60%, respectively. Conclusion: TCT examination of cervical lesions is better than Pap smear. It is the most effective method of screening for cervical lesions, and is worthy of clinical application.
出处
《中国性科学》
2013年第6期6-8,共3页
Chinese Journal of Human Sexuality