薄层液基细胞学检查联合阴道镜检查在门诊宫颈普查中应用.docVIP

薄层液基细胞学检查联合阴道镜检查在门诊宫颈普查中应用 　　[摘要] 目的 薄层液基细胞学检查联合阴道镜检查在门诊宫颈普查中的应用。 方法 随机选取患有宫颈病变150例为该研究对象，年龄为24～50岁，平均年龄为（30.5±5.66）岁。其中80例进行薄层液基细胞学检查，70例进行阴道镜检查，该研究对象均符合宫颈病变病情诊断标准。结果 薄层液基细胞学检查诊断癌变特性为64例，确证率为80%，阴道镜检查诊断癌变特性为21例，确证率为30%。两者差异有统计学意义（P0.05?w。 结论 该研究通过对薄层液基细胞学检查联合阴道镜检查在门诊宫颈普查中的应用，结果表明薄层液基测试方法更容易检查到癌变细胞，并且减少了多次重复测试，将癌变检查工作进一步提高，并且让癌变患者得到尽快有效的治疗，阴道镜不仅用于检查宫颈癌变还能用于研究癌变的原因以及进一步对治疗效果进行检查，阴道镜提高了阳性检查率并且减少对患者无创伤、无痛苦、无交叉感染等风险，所以已经被广泛应用于临床。 　　[关键词] 薄层液基细胞学检查；阴道镜检查；宫颈癌变 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）03（b）-0164-02 　　[Abstract] Objective To study the application of thinprep cytologic test combined with vaginoscopy in the outpatient？cervical cancer screening. Methods 150 cases of patients with cervical lesions with the average age of （30.5±5.66） years old （from 24 to 50） were randomly selected as the research object， 80 cases received thinprep cytologic test， 70 cases received vaginoscopy， and all the research objects met the diagnosis criteria of cervical lesions. Results 64 cases were with cancer features diagnosed by thinprep cytologic test and the confirmatory rate was 80%， 21 cases were with cancer features diagnosed by vaginoscopy and the confirmatory rate was 30%， and the difference was obvious with statistical significance P0.05. Conclusion The study shows that the thinprep cytologic test is more easy to check cancerous cells， reduce the repeated test， further improve the job of cancerous check and make the patients obtain the effective treatment as soon as possible， the vaginoscopy can not only be used in the cervical cancer check but also be used to research the cancer causes and further check the treatment effect， the vaginoscopy improves the positive check rate and reduce the risks of no trauma， no pains and no cross infection of patients. 　　[Key words] Thinprep cytologic test； Vaginoscopy； Cervical cancer 　　薄层液基细胞学检查是一种宫颈癌细胞学检查技术，主要使用液基薄层细胞检测系统来进行宫颈细胞检查和诊断[1]。是目前宫颈普查中比较常用的技术，与以往传统的检查方法有所不同，薄层液基细胞学检查提高了检查质量，更加有效的查出宫颈异常，达到宫颈普查目的，同时还能查处宫颈癌细胞病变和微生物的感染情况[