宫颈液基细胞学与活检组织病理学在宫颈病变筛查中的价值

The Value of Liquid Based Cytology and Biopsy Pathology in Cervical Lesions Screening

目的比较分析宫颈液基细胞学与活检组织病理学在宫颈病变筛查中的价值。方法对800例行TCT检查患者的临床资料进行回顾性分析,患者接受宫颈液基细胞学检查,对检查呈现阳性患者实施活检组织病理学检查,观察联合检查的应用价值。结果 800例患者接受TCT检查,检查呈阳性结果 80例(10.00%),其中ASC有40例(5.00%),LSIL有20例(2.50%),HSIL有16例(2.00%),SCC有4例(0.50%),在TCT检查中出现阳性反应的患者,年龄高发段为26~42岁,共计38例(47.5%),对阳性患者进行活检组织病理学检查,与TCT阳性结果进行比较,患者阳性检出率以及检出符合率分别包括SCC:100.00%、100.00%,HSIL:100.00%,83.33%;LSIL:68.60%,62.32%。结论在宫颈病变的临床诊断中,宫颈液基细胞学与活检组织病理学检查是最有效的诊断方法,可以及时、有效进行确诊,减小漏诊,提高治疗效率。

Objective To compare the value of liquid based cytology and biopsy pathology in cervical lesions screening. Methods 800 cases of TCT patients were retrospectively analyzed. The patients received cervical cytology, to check positive patients with biopsy, observe the application value of joint inspection. Results 800 patients underwent TCT examination, examination showed positive results in 80 cases （10.00%）, there were 40 cases of ASC （5.00%） LSIL, 20 cases （2.50%）, HSIL 16 cases （2.00%）, SCC 4 cases （0.50%）, the positive reaction of the patients in TCT examination, the high incidence of age for 26 to 42 years, a total of 38 cases （47.50%）, in patients with positive biopsy, compared with the positive results of TCT patients, the positive rate and coincidence rate respectivelY, including SCC： 100.00%, 100.00%, HSIL： 100.00%, 83.33%; LSIL： 68.60%, 62.32%. Conclusion In the clinical diagnosis of cervical lesions, cervical liquid based cytology and biopsy pathological examination is the most effective diagnostic method, can be timely and effective diagnosis, reduce missed diagnosis, improve treatment efficiency.