宫颈刮片脱落细胞学检查在宫颈癌普查中的作用

Effect of cervical smear cytology in the screening of cervical cancer

目的：探讨宫颈刮片脱落细胞学检查在宫颈癌筛查中的作用.方法：回顾性分析行宫颈刮片脱落细胞学检查的5 801例妇女临床资料,分析宫颈刮片脱落细胞学检查结果异常受检者的病理学诊断结果以及各年龄段受检者宫颈病变的情况.结果：5 801例中,2 799例未见核异质细胞,2 914例有轻度核异质细胞,88例有轻度不典型增生细胞.其中45～ 55岁年龄段受检者检查异常率最高,为1.79％ （61/3 413）.80例为轻度不典型增生细胞,5例为重度不典型增生细胞,3例发现癌细胞.88例宫颈刮片脱落细胞学检查异常的受检者中,发生宫颈上皮内瘤变的有13例.结论：宫颈刮片脱落细胞学检查是宫颈癌普查的首选方法,可早期发现宫颈癌癌前病变,有利于早期实施干预,降低宫颈癌的患病率.

Objective：To investigate the effects of cervical smear cytology in the screening of cervical cancer.Methods：The clinical data of cervical smear cytology in 5 801 women were retrospectively analyzed.The pathology diagnosis of women with abnormal cervical smear cytology and cervical lesions of the different ages subjects were analyzed.Results：Among 5 801 patients,cells without heterogeneous nuclear in 2 799 cases,cells with mild heterogeneous nuclear in 2 914 cases and cells with mild atypical hyperplasia in 88 cases were found.The age of the highest examination abnormal rate was 45 to 55 years old（61/3 413,1.79％）.Eighty cases with mild atypical hyperplasia,5 cases with severe atypical hyperplasia and 3 cases with cancer cell were found.Among 88 patients with abnormal cervical smear cytology,cervical intraepithelial neoplasia was found in 13 cases.Conclusions：Cervical smear cytology is the preferred method in screening cervical cancer,which can early find cervical precancerous lesions,implement intervention,and reduce the incidence of cervical cancer.