宫颈液基细胞学诊断高度鳞状上皮内病变与宫颈活检比较研究.docVIP

精品论文 参考文献 宫颈液基细胞学诊断高度鳞状上皮内病变与宫颈活检比较研究 王晓洁 　　（北京市房山区第一医院病理科 北京 102400） 　　【摘 要】目的：探讨宫颈液基细胞学诊断下的高度鳞状上皮内病变情况，以及和宫颈活检情况之间存在差异的影响因素，旨在掌握相关病变诊断要点。方法：选取2014年1月至2015年1月我院收治的高度鳞状上皮内病变患者120例，这120例患者都进行了宫颈液基细胞学诊断，且进行了宫颈活检结果对比，研究分析两种患者诊断结果。结果：在本研究当中的120例患者，都进行了宫颈液基细胞学诊断，诊断结果表明，主要包括病理学诊断出的鳞癌患者、CNI患者，对应的患者例数分别为80例和25例，另外还包括慢性宫颈炎患者、浸润性鳞癌患者以及原位腺癌患者，对应的患者例数分别为10例、3例和2例。结论：对于高度鳞状上皮内病变患者临床病情诊断来说，必须在掌握患者细胞病理学相关情况的基础上明确患者病情诊断要点。 　　【关键词】宫颈液基细胞学诊断；高度鳞状上皮内病变；宫颈活检；比较 　　【中图分类号】R737.33 【文献标识码】B 【文章编号】1003-5028（2015）8-0497-02 　　【Abstract】Objective:To study the cervical liquid based cytology diagnosis under the height of the squamous intraepithelial lesions, and the influence factors of differences between cervical biopsy cases, to master relevant pathological changes. Selection Methods: between January 2014 and January 2015, our hospital squamous intraepithelial lesions in 120 cases of patients, the height of the 120 cases of patients with cervical liquid based cytology diagnosis, and has carried on the cervical biopsy, the results of research on the diagnosis analysis of two kinds of patients. Results: in this study, 120 patients of cervical liquid based cytology diagnosis were carried out, the diagnosis results show that the main including pathology diagnosed patients with squamous cell carcinomas, the CNI patients, patients with the corresponding cases 80 cases and 25 cases respectively, also including chronic cervicitis patients, patients with invasive squamous carcinoma and adenocarcinoma in situ, the corresponding cases patients with 10 cases, 3 cases and 2 cases respectively. Conclusion: for patients with highly squamous intraepithelial lesions in clinical disease diagnosis, must be mastered in patients with related cases on the basis of clear cells in patients with pathology diagnosis points. 　　【Key words】cervical liquid based cytology diagnosis; Height squamous intraepithelial lesions; Cervical biopsy; To compar 　　近年来，宫颈鳞状上皮内病变患者越来越多，其属于一种TBS报告系统，该系统最初是由美国提出的。按照相关病变分级要求，可以把宫