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目的:分析宫颈细胞学中非典型鳞状细胞不能明确意义的组织病理学结果与随访情况,探讨其临床意义和管理。方法:收集2005年1月～2009年12月河北北方学院附属第一医院妇科诊治的患者中非典型鳞状细胞不能明确意义的临床资料、病理诊断结果并统计分析。结果:非典型鳞状细胞不能明确意义组织病理学检查阳性率10.07%,重复细胞学检查阳性率7.7%,活检和随访结果间差异无统计学意义。结论:非典型鳞状细胞不能明确意义存在上皮内病变风险,活检与随访有效性一致,临床应根据患者的具体情况给予恰当的处理。
OBJECTIVE: To analyze the histopathological findings and follow-up of atypical squamous cell in cervical cytology, and to investigate its clinical significance and management. Methods: Clinical data, pathological diagnosis results and statistical analysis of atypical squamous cells in patients with gynecological diagnosis and treatment in the First Affiliated Hospital of Hebei North University from January 2005 to December 2009 were collected. Results: The positive rate of atypical squamous cell in histopathology was 10.07%, and the positive rate of repeat cytology was 7.7%. There was no significant difference between biopsy and follow-up results. Conclusion: The atypical squamous cell can not have the definite significance of the risk of intraepithelial lesion. The biopsy and follow-up validity are consistent. The clinical treatment should be given according to the specific condition of the patient.