液基薄层细胞学检查对宫颈病变的临床诊断价值探讨

目的 探讨液基薄层细胞学检查(TCT)用于鉴别诊断宫颈病变的临床价值与意义.方法 选取本院妇科就诊的100例疑似宫颈病变患者,根据就诊顺序分为观察组与对照组,每组各50例,分别接受TCT筛查与宫颈细胞巴氏涂片检测,以病理诊断为金标准比较两种检测方式标本满意率及病理结果符合率.结果 TCT标本满意程度98.0%及阳性检出率87.0%均显著高于巴氏涂片组满意程度83.0%阳性检出率56.0%,TCT检测诊断总符合率88.7%显著高于巴氏涂片诊断总符合率57.1%,差异有统计学意义(P<0.05).结论 TCT应用于宫颈病变筛查可获得较为准确的检测结果,对宫颈病变阳性诊断率高、可重复筛查的优势,为临床鉴别诊断宫颈病变及尽早治疗提供客观科学的理论依据.

Objective To investigate the clinical value and signifcance of thin-prep cytology tes(TCT)in diferential diagnosis of cervical lesions.Methods 100 patients with suspected cervical lesions in our hospital were divided into observation group and control group according to the order of treatment.They were sceened by Pap smear and TCT respectively.Taking pathological diagnosis as the gold standard,the specimen satisfaction rate and coincidence rate with pathological results were compared between the two detection methods.Results The satisfaction rate of TCT specimens was 98.0%and the positive detection rate was 87.0%,which was significantly higher than 83.0%and 56.0%in Pap smear group,and the total coincidence rate of TCT was 88.7%,which was significantly higher than 57.1 in Pap smear group(P<0.05).Conclusion The application of TCT in cervical lesion screening can obtain more accurate test results.It has the advantages of high positive rate and repeatable screening I can provide an objective and scientific theoretical basis for clinical diferential diagnosis and early reatment.