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目的:通过宫颈脱落细胞学检查结果为未明确诊断意义的不典型磷状细胞(ASCUS)患者的组织病理学分析,为合理的随访与治疗提供依据。方法:对47例按TBS分类检查结果为ASCUS患者,在阴道镜观察下取组织活检送病理。结果:炎症32例,轻度不典型增生7例,中度不典型增生3例,重度不典型增生2例,原位癌2例,宫颈癌1例。结论:宫颈脱落细胞学检查为ASCUS的患者,其组织病理学结果呈多样性,应尽可能在阴道镜观察下取组织活检送病理,以明确诊断,为临床治疗提供依据。
OBJECTIVE: To provide a basis for rational follow-up and treatment through the histopathological analysis of cervical exfoliative cytology results in atypical Porphyromocytoma (ASCUS) patients without definite diagnosis. Methods: Totally 47 cases of ASCUS were examined by TBS, and biopsied by colposcopy under colposcopy. Results: 32 cases of inflammation, 7 cases of mild dysplasia, 3 cases of moderate dysplasia, 2 cases of severe atypical hyperplasia, 2 cases of carcinoma in situ and 1 case of cervical cancer. Conclusion: Cervical cytology is an ASCUS patient. The histopathological findings are diverse. Biopsies taken by colposcopy should be sent to the pathological examination as far as possible to confirm the diagnosis and provide the basis for clinical treatment.