简述宫颈刮片脱落细胞学检查在宫颈癌普查中的作用.docVIP

精品论文 参考文献 简述宫颈刮片脱落细胞学检查在宫颈癌普查中的作用 成都市天府新区人民医院 四川 双流 610213 　　【摘要】目的：探讨宫颈刮片脱落细胞学检查在宫颈癌普查中的应用效果。方法：选择2015年来我院进行宫颈癌普查妇女共18735例，按照宫颈癌检查方法不同，将本次研究样本分成研究组和常规组，其中研究组共9716例样本，常规组共9019例样本。研究组样本均采用宫颈刮片脱落细胞学检查，对照组样本则采用液基超薄细胞检查，对两组样本的检查结果进行深入分析与比较。结果：研究组共9716例样本中，经细胞学普查TBS分级得到Ⅲ级样本143例(1.47%)，Ⅳ级样本12例(0.12%)，Ⅴ级样本5例(0.05%)，将上述细胞学检查异常样本进一步进行病理检查。发现炎症反应样本126例，CINⅠ级样本19例，CINⅡ～Ⅲ级样本10例，原位癌3例，宫颈癌2例；相比较常规组共9019例样本中，经细胞学普查TBS分级得到Ⅲ级样本178例(1.97%)，Ⅳ级样本8例(0.09%)，Ⅴ级样本4例(0.04%)，将上述细胞学检查异常样本进一步进行病理检查。发现炎症反应样本145例，CINⅠ级样本35例，CINⅡ～Ⅲ级样本5例，原位癌4例，宫颈癌1例。经统计学软件对以上两组样本的临床研究结果进行对比分析，得到数据差异具有统计学意义(P＜0.05)。即研究组样本宫颈癌的细胞学检查与病理诊断相符情况相比较常规组更为显著。结论:宫颈刮片脱落细胞学检查在宫颈癌普查中的应用效果显著，值得临床中普遍推广应用。 　　【关键词】宫颈刮片脱落细胞学检查；宫颈癌；普查；作用 　　The paper fall off cervical smear cytologic examination in the role of cervical cancer census 　　SHU Jian 　　Chengdu tianfu new district peoples hospital Sichuan shuangliu, 610213 　　【 abstract 】 objective: to study the fall off cervical smear cytologic examination application in cervical cancer census results. Methods: our hospital 18735 cases of cervical cancer census in 2015 years, according to the cervical cancer check methods, divide the sample into research group and normal group, which the team a total of 9716 cases of samples, conventional group a total of 9019 cases of samples. Team fall off sample adopt cervical smear cytologic examination and the control sample is using liquid ultra-thin cell inspection, the inspection results of two groups of samples for further analysis and comparison. Results: the team a total of 9716 samples, the TBS cytology census class get Ⅲ samples of 143 cases (1.47%), grade Ⅳ sample 12 cases (0.12%), grade Ⅴ samples in 5 cases (0.05%), the above abnormal cytology samples further pathological examination. Found that inflammatory response samples of 126 cases, CIN grade Ⅰ samples 19 cases, CIN Ⅱ ~ Ⅲ sample 10 cases, carcinoma in situ in 3 cases, 2 cases of cervical cancer; Compared with normal group, 9019 cases of samples, the TBS cytology census class get Ⅲ sam