278例宫颈液基薄层细胞学检查结果分析

Analysis of 278 Cases of Cervical Thin-prep Cytology Test

目的:探讨宫颈液基薄层细胞学检查(thinprep cytologic test,TCT)临床上的应用价值。方法:收集2013月1月-2014年12月笔者所在医院10 344例患者的TCT检查结果,均按TBS分级系统标准诊断,其中TCT检查结果呈阳性并且自愿作阴道镜下活检的患者278例,按宫颈病理检查结果将其分为4组进行统计分析。结果:宫颈TCT结果与宫颈活检病理结果符合率高,宫颈TCT不同阳性结果的宫颈活检病理总体构成不相同(P<0.05),ASC-US及LSIL组中CINI级发生率最高,ASC-H组及HSIL组中CINⅢ级发生率最高,且宫颈癌发生率较ASC-US及LSIL组明显增高。结论:TCT是宫颈疾病监测的有效方法,应普及筛查,尤其应重视阳性结果为ASC-H及HSIL患者。

Objective： To analyze the the clinical application value of TCT（thinprep cytologic test）.Method： 10 344 female patients who underwent TCT by TBS diagnosis standard classification system from January 2013 to December 2014 were collected.There were 278 cases of patients were diagnosed positive, which could be divided into 4 groups according to the pathological findings.Result： The coincidence rate between cervical TCT results with cervical biopsy pathology results was high.The cervical TCT different positive results of cervical biopsy pathology overall constitute was different（P〈0.05）, the incidence level of CINI in group ASC-US and LSIL was the highest.The incidence level of CIN BI in group ASC-H and HSIL was the highest, and the incidence of cervical cancer was significantly higher than the other two groups.Conclusion： TCT is an effective method for cervical disease surveillance, which should be universal screening.The patients who are diagnosed ASC-H and HSIL should be paid attention especially.