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目的评价液基薄层细胞学(TCT)检查在宫颈病变诊断中的价值。方法采用TCT技术按TBS标准对2006年1月—2007年1月我院妇科门诊1 365例宫颈高危患者行TCT和病理诊断,将不典型鳞状细胞(ASCUS)以上病变均列为阳性病例,并行阴道镜下活检。结果检出阳性病例70例占5.1%。其中ASCUS 59例占4.3%,低度鳞状上皮内病变(LSIL)7例占0.5%,不除外高度鳞状上皮内病变(HSIL)2例占0.1%,子宫颈癌2例占0.1%。结论TCT可用于宫颈病变的初筛,TCT联合阴道镜下活组织检查可提高宫颈病变的检出率及准确率。
Objective To evaluate the value of liquid-based thin-layer cytology (TCT) in the diagnosis of cervical lesions. Methods TCT and TBS were used to diagnose and diagnose 1 365 cases of high risk cervical cancer in our gynecology clinic from January 2006 to January 2007 according to TBS standard. All the above lesions were classified as positive cases, Colposcope biopsy. Results of positive cases detected in 70 cases accounted for 5.1%. Among them, ASCUS 59 cases accounted for 4.3%, low grade squamous intraepithelial lesion (LSIL) 7 cases accounted for 0.5%, non-high grade squamous intraepithelial lesion (HSIL) 2 cases accounted for 0.1%, cervical cancer 2 cases accounted for 0.1%. Conclusion TCT can be used for screening of cervical lesions, TCT combined with colposcopic biopsy can improve the detection rate of cervical lesions and accuracy.