计算机辅助细胞检测系统对子宫颈病变筛查的意义

Significance of CCT in screening of cervical pathological changes

目的:对应用计算机辅助细胞(CCT)检测系统进行子宫颈病变的细胞学诊断作出初步评价。方法:对妇科病普查中936例宫颈涂片标本采用PAPNET全自动电脑扫描和诊断系统行细胞学筛选,按TBS诊断分类标准诊断,并按不同年龄及宫颈光滑与糜烂程度进行对照。结果:正常821例,异常115例,其中不典型鳞状细胞性质未定(ASCUS)87例,低度鳞状上皮内病变(LSIL)26例,高度鳞状上皮内病变(HSIL)2例,异常涂片多见30~49岁年龄组,且宫颈光滑组与宫颈糜烂组阳性检出率无显著差异。结论:CCT是细胞学诊断的重要革新,有很高的敏感性和特异性,且效率高,适用于宫颈癌患者的大规模普查。

Objective: To evaluate the cytological diagnosis of cervical pathological changes by CCT. Methods: 936 cases of cervical smears were screened by PAPNET CCT in this hospital and diagnosed according to TBS diagnosis system standard. The results were compared according to age, cervical smooth grade and cervical erosion grade. Results:821 cases were normal, 115 cases 'were abnormal. Thereinto, 87 cases were ASCUS, 26 cases were LSIL, and 2 cases were HSIL. The abnormal smears were common in the group of 30-49 years old. There were not significant difference in positive rate between cervical smooth group and cervical erosion group. Conclusion: CCT was the important innovation of cytological diagnosis, which has high sensitivity and specificity and efficiency, acceptable for massive generation investigation for cervical cancer patients.