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[目的]探讨宫颈腺上皮病变的细胞学形态特点。[方法]分析52例细胞学诊断宫颈腺上皮异常病例的细胞学资料和组织学资料,以组织学诊断作为标准,对细胞学诊断的准确性进行评估,并分析宫颈腺上皮病变与年龄、月经状况的关系。[结果]52例宫颈腺上皮病变中正常和炎症20例,宫颈和内膜病变32例,阳性检测准确率为61.5%,假阳性率为38.5%。其中内膜病变为18例,细胞学诊断内膜病变的敏感性为34.6%。[结论]①宫颈腺上皮相对少见,细胞学诊断特异性低,尤其是诊断AIS时要慎重。②腺上皮病变的细胞学特征主要是细胞核的改变和典型的三维立体结构排列。③腺上皮病变发病年龄偏高,绝经是高危因素之一。
[Objective] To investigate the cytological features of cervical glandular epithelial lesions. [Methods] The cytological data and histological data of 52 cases of abnormal diagnosis of cervical epithelial dysplasia were analyzed. The accuracy of cytological diagnosis was evaluated by using histological diagnosis as criteria, and the relationship between cervical glandular epithelial lesions and age, menstrual cycle The relationship between the situation. [Results] Twenty cases of cervical glandular epithelial lesions were normal and inflammatory in 20 cases, and cervical and endometrial lesions were 32 cases. The positive detection rate was 61.5% and the false positive rate was 38.5%. Of which 18 cases of endometrial lesions, cytological diagnosis of endometriosis sensitivity was 34.6%. [Conclusion] ① Cervical glandular epithelium is relatively rare, cytology diagnosis is low, especially in the diagnosis of AIS should be careful. The cytological features of gland epithelial lesions are mainly the changes of the nucleus and the typical arrangement of three-dimensional structure. ③ high incidence of glandular epithelial disease, menopause is one of the risk factors.