液基薄层细胞检测联合阴道镜检查在宫颈癌筛查中的应用价值分析

Applied value analysis of TCT detection combined colposcope examination in cervical cancer screening

目的分析宫颈癌筛查中应用液基薄层细胞检测（TCT）与阴道镜检查相结合的价值。方法选取该院妇科2011年8月~2013年1月宫颈癌筛选患者894例,采用液基薄层细胞检测方法和阴道镜检查方法进行检查,按照组织病理学活检作为金标准,将不同检验结果 进行对比分析。结果 TCT检测结果 与组织病理活检的结果 相比较（TBS分级）,低度病变和高度病变的阳性符合率分别为68.75%、81.82%;TCT检测与阴道镜结合的阳性符合率为93.75%与90.91%,且联合检验的阳性符合率明显高于TCT检验,差异有显著性（P〈0.05）。结论宫颈癌筛选应用TCT检验与阴道镜检验相结合,准确性提高,相互弥补不足以增强宫颈癌的检出率。

【Objective】To analyze the applied value of TCT detection combined colposcope examination in cervical cancer screening.【Method】894 cervical cancer patients from August 2011 to January 2013 were chosen and examined by TCT detection and colposcope examination according to the golden standard of histopathological biopsy,different inspection results were compared and analyzed.【Results】Compared with histopathological biopsy result,positive coincidence rates of low-grade lesion and high-grade lesion of TCT detection result were respectively 68.75% and 81.82%;positive coincidence rates of TCT detection combined colposcope examination were respectively 93.75% and 90.91%,higher than TCT detection（P 0.05）.【Conclusion】TCT detection combined colposcope examination in cervical cancer screening has a high accurate rate and the two methods can compensate each other to enhance cervical cancer detection rate.