1346例宫颈非典型鳞状上皮细胞的组织学结果分析

Diagnosis of ASC Histopathological Results Analysis of 1346 Cases of Cervical Cytological

目的:对宫颈细胞学诊断TBS(The Bethesda System for reporting cervical cytology)分类中非典型鳞状上皮细胞(atypical squamous cell,ASC)的结局的分析,提高对TBS分类中ASC诊断的认识,以及ASC及时明确诊断的意义。方法:回顾性分析TCT标本中的1346例有明确病理诊断的ASC患者的临床资料,所有患者均在行阴道镜下多点位宫颈活检病理诊断。结果:1346例ASC患者中,836例为良性反应性改变,占62.10%(836/1346);247例为CINⅠ级,占18.31%(247/1346);263例为CINⅡ级以上,占19.53%(263/1346)。结论:对宫颈细胞学TBS分类中ASC的诊断,应提高认识,及时明确诊断,防止漏诊或过度治疗。

Objective： To diagnose cervical cytology TBS classification analysis of ASC ending, improve our understanding of ASC in the TBS classification diagnosis, and ASC timely diagnosis significance. Method t TCT specimen of 1346 cases with clear pathological diagnosis of patients with ASC were collect, and were retrospectively analyzed. More than t346 patients were under colposcope point cervical biopsy pathological diagnosis. Result： 1346 patients with ASC, among them, 836 cases of benign reactivity change, accounted for 62.10.% （ 836/1346 ） ; 247 cases of CIN I level, accounting for 18.31% （ 247/1346 ） ; 263 cases of CIN II magnitude, accounting for 19.53% （ 263/1346 ） . Conclusion： The diagnosis of cervical cytology TBS classification in ASC, we should raise awareness, and timely diagnosis, preventing misdiagnosis or excessive treatment.