巴氏涂片和液基细胞学宫颈检查结果的临床分析

Clinical analysis on pap smear and liquid based cytology （TCT） in cervical examination

目的 分析探讨巴士涂片与液基细胞学（TCT）在宫颈病变检查中的结果差异.方法 选取2015年5月-2016年12月期间杭州市五云山疗养院妇产科收治的150例行常规细胞学检查的患者作为研究对象,对所有患者分别采用液基细胞学检查（TCT）及巴氏涂片检查;并将液基细胞学检查方法作为研究组,巴氏涂片检查方法作为对照组,然后对比2种检查方式的诊断结果差异.结果 研究组患者的阳性检出率、ASCUS检出率、LSIL检出率以及HSIL检出率比对照组患者均明显偏高,组间差异明显,具有统计学意义（P〈0.05）;与阴道镜活检结果相比,研究组对于LSIL的诊断符合率比对照组患者明显偏高,组间差异明显,具有统计学意义（P〈0.05）.结论 与巴氏涂片检查相比,液基细胞学在宫颈病变检查中具有更为明显的优势,能够显著提高宫颈病变检查的阳性率,减少假阴性结果,具有更高的诊断符合率,因而值得在临床上推广应用.

Objective To explore the difference of the results between pup smear and liquid-based cytology （TCT） in cervical lesions.MethodsA total of 150 patients undergoing routine cytology were enrolled in the department of obstetrics and gynecology in Hangzhou Wuyunshan sanatorium from May 2015 to December 2016.The patients were treated with liquid-based cytology （TCT） and Papanicolaou Smear examination;and liquid-based cytology method as the study group, and Pap smear the control group.The difference of the diagnostic results between the two groups were compared.ResultsThe positive rate of ASCUS detection, LSIL detection rate and HSIL detection rate were significantly higher in the study group than those in the control group （P〈0.05）.The difference between the two groups was statistically significant （P〈0.05）.Compared with the results of colposcopic biopsy, the diagnosis of LSIL coincidence rate in the study group was significantly higher than that in the control group, the difference between the groups was statistically significant （P〈0.05）.ConclusionCompared with pap smear examination, liquid-based cytology has a more obvious advantage in cervical lesions, which can significantly improve the positive rate of cervical lesions, reduce the false negative results, with a higher diagnostic compliance rate, and therefore worthy of clinical application.