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目的探究宫颈上皮内瘤变患者应用病理液基细胞学联合镜下活检的诊断效果特点。方法本次实验研究选择的实验对象是2016年1月-2017年1月我院接收并治疗的200例宫颈上皮内瘤变患者,并对抽取的宫颈上皮内瘤变患者进行阴道镜检查与病理液基细胞学联合检查诊断。结果在抽取的200名研究对象中,通过对患者进行病理液基细胞学联合镜下活检诊断,结果显示细胞学阳性检出率为13.5%,占27例,其中ASCUS 6例、占22.22%,AGCUS 4例、占14.81%,LSIL 8例、占29.63%,HSIL 5例、占18.52%,其余SCC 4例、占14.82%。而通过应用病理液基细胞学联合镜下活检对宫颈上皮内瘤变(CIN)患者进行检查,结果显示病理液基细胞学联合镜下活检对(LSIL)、宫颈癌的敏感性分别为87.55%与85.69%。结论针对宫颈上皮内瘤变选择应用病理液基细胞学联合镜下活检的诊断能够起到一定的效果,其特异性较高,但也会存在误诊和漏诊,故在诊断中需要高度重视。
Objective To investigate the diagnosis and treatment of cervical intraepithelial neoplasia by pathology-based cytology combined with microscopic biopsy. Methods The experimental subjects selected in this study were 200 cases of cervical intraepithelial neoplasia received and treated in our hospital from January 2016 to January 2017. Colposcopy and pathology of the patients with cervical intraepithelial neoplasia Liquid-based cytology combined diagnosis. Results Among the 200 subjects, pathological liquid-based cytology combined with microscopic biopsy showed that the positive rate of cytology was 13.5% (27 cases), of which ASCUS was found in 6 cases (22.22%), 4 cases of AGCUS, accounting for 14.81%, 8 cases of LSIL, accounting for 29.63%, HSIL 5 cases, accounting for 18.52%, the remaining 4 cases SCC, accounting for 14.82%. The pathological liquid-based cytology combined with microscopic examination of cervical intraepithelial neoplasia (CIN) patients were examined, the results showed pathological liquid-based cytology combined microscopic biopsy (LSIL), cervical cancer were 87.55% With 85.69%. Conclusion The diagnosis of cervical intraepithelial neoplasia with pathological liquid-based cytology combined with microscopic biopsy can play a certain effect, its specificity is high, but there are also misdiagnosis and missed diagnosis, so the diagnosis needs to attach great importance.