薄层液基细胞学检查联合电子阴道镜检查诊断宫颈病变价值探析.docVIP

薄层液基细胞学检查联合电子阴道镜检查诊断宫颈病变价值探析摘要：目的：评价液基细胞学（TCT）检查与阴道镜检查定位活检及病理检查联合应用对宫颈病变的诊断价值。方法：对2008年1月至2009年12月在我院门诊就诊的1545例患者行TCT检查，细胞学诊断采用TBS分级系统，所有细胞学阳性（ASCUS以上的病变）的患者130例行阴道镜检查，定位活检并进行病理检查。结果：130例TCT诊断阳性的患者：ASCUS86例、LSIL34例、HSIL8例、癌2例；病理组织学诊断：慢性宫颈炎64例、CIN-I 40例、CIN-II 19例、CIN-III 5例、癌2例。结论：TCT联合阴道镜检查能及早发现宫颈癌前病变，显著提高宫颈病变的阳性检出率。 关键词：宫颈上皮内瘤样病变 液基薄层细胞学检查 阴道镜病理诊断 Thin layer fluid basal cell study inspection union electron vaginoscopeinspects the diagnosis cervix of the uterus pathological change value discussion Yang Linli Xu Shaoxian He Yaping Abstract:Objective:Appraisal fluid basal cell study (TCT) inspection and vaginoscope inspection localization biopsy and pathology inspection union application to cervix of the uterus pathological change diagnosis value.Methods:To from January,2008 to December,2009 in my courtyard outpatient service seeing a doctor 1545 example patient line of TCT inspection,the cytology diagnosis uses the TBS hierarchy system,all cytology masculine gender (ASCUS above pathological change) the patient 130 routine vaginoscope inspections,the localization biopsy and carries on the pathology inspection.Result 130 example TCT diagnosis masculine patient:ASCUS86 example,LSIL34 example,HSIL8 example,cancer 2 examples;Histo-pathology diagnosis:Chronic cervicitis 64 examples,CIN-I 40 examples,CIN-II 19 examples,CIN-III 5 examples,cancer 2 examples.Conclusion:The TCT union vaginoscope inspection can discover early in front of cervical cancer the pathological change,obviously enhances cervix of the uterus pathological change the masculine gender to pick out rate. Keywords:In cervix of the uterus epidermis lump type pathological change Fluid base thin layer cytology inspection Vaginoscope pathological diagnosis 【中图分类号】R445 【文献标识码】A 【文章编号】1008-1879(2010)12-0014-02 宫颈癌在女性恶性肿瘤中位居第二位，严重威胁着妇女的健康，由于宫颈癌存在着一个较长的，可逆转的癌前病变期，从宫颈癌前病变(CIN)发展为宫颈癌大约需要10-15年时间［1］。若在此时间内及时诊断，及时治疗可以阻断癌变的发生，对降低宫颈癌的发生有重要价值。我们对液基细胞学（TCT）检查异常的患者行阴道镜检查定位活检并行病检，将其结果对比分析，探讨上述方法对宫颈病变的诊断价值。