探讨宫颈液基细胞检查与阴道镜检查在宫颈癌病变早期筛查中的应用价值.docVIP

精品论文 参考文献 探讨宫颈液基细胞检查与阴道镜检查在宫颈癌病变早期筛查中的应用价值 杨文 史沛芹 　　【摘 要】 目的 对宫颈液基细胞检查与阴道镜检查在宫颈癌病变早期筛查中的应用价值进行分析和探讨。方法 选取689例2012年6月-2014年6月与我院行宫颈液基细胞检查（TCT）的患者，利用TBS细胞分级诊断系统对病变进行诊断，若结果在ASCUS以上，则为阳性病变，阳性者接受阴道镜下宫颈活性检查，以病理学作为金标准，将检测结果与其进行对比。结果 TCT检查阳性率为24.38%，阴道镜下活性检查阳性率为81.54%，联合检查阳性率为94.56%，单独检查与联合检查阳性率之间的比较差异显著(Plt;0.05)，具有统计学意义。结论 TCT联合阴道镜检查在宫颈癌病变早期筛查中应用价值显著，具有较高的诊断准确率，有利于宫颈病变患者对于宫颈癌的预防与诊治。 　　【关键词】 宫颈液基细胞检查； 阴道镜检查； 宫颈癌病变； 早期筛查 　　 　　Objective to explore the application value of cervical liquid based cytology and cervical cancer screening in the early stage of cervical cancer. 　　 　　【Abstract】 objective To analyze and discuss the application value of liquid based cervical cytology and colposcopy in the early screening of cervical lesions.Method 689 cases of patients with cervical fluid based cytology (TCT) in our hospital from June 2011 to June were selected,TBS cell grading system for the diagnosis of the disease, if the results in ASCUS or more, then the positive lesions,Positive cases received colposcopy examination with pathological activity, as the gold standard, the detection results were compared .Result The positive rate of TCT was 24.38%, the colposcopy examination activity positive rate was 81.54%, the positive rate of combined examination was 94.56%,The difference between the positive rates of individual examination and combined examination was significant (Plt;0.05), which was statistically significant.Conclusion TCT combined with vaginal biopsy in the early screening of cervical cancer patients with significant value,it has high diagnostic accuracy, which is beneficial for the prevention and treatment of cervical cancer. 　　【Key word】 Liquid based cytology test; Vaginal examination; Cervical cancer; Early screening 　　近年来，随着我国经济的持续发展，女性面临着越来越大的生活压力，不规律的生活方式加上HPV的广泛传播导致使得宫颈癌的发病率逐年上升，如何降低宫颈癌的发病率已成为了严峻的、亟待解决的社会问题。为进一步提高宫颈癌的早期筛查准确率，本研究选取了我院2012年6月-2014年6月接受TCT检查的689例患者，探讨了宫颈液基细胞检查联合阴道镜检查在宫颈癌病变早期筛查中的应用价值，现报告如下。 　　资料与方法 　　1.一般资料 　　选取我院2012年6月-2014年6月收治的689