液基细胞学与传统巴氏涂片对普查人群宫颈病变筛查的比较

被引：16

作者：

张威

梅平

刘艳辉

庄恒国

曾仁海

陈国艳

机构：

[1] 广东省人民医院病理科

[2] 广东省人民医院病理科广州

[3] 广州

来源：

广东医学 | 2005年 / 05期

关键词：

宫颈病变; 液基细胞学; 新柏氏; 筛查;

D O I：

10.13820/j.cnki.gdyx.2005.05.038

中图分类号：

R711.74 [子宫及子宫颈疾病];

学科分类号：

100211 ;

摘要：

目的分析比较新柏氏液基细胞学(thinPrepcytologytest,TCT)及传统巴氏涂片(conventionalsmears,CS)在普查人群中对宫颈病变筛查的作用。方法回顾性分析了3581例TCT普查人群及同时期4776例CS普查人群的宫颈涂片结果。对两种方法的标本满意率及宫颈病变的阳性检出率进行了比较,并对两种方法与组织学的符合率进行了比较。结果TCT组标本满意率明显高于CS组(P<0.01);对非典型鳞状上皮细胞(atypicalsqumaouscells,ASC)及其以上病变的检出率TCT组亦明显高于CS组(P<0.05)。以阴道镜下组织学活检结果为标准,TCT组与CS组对LSLL及HSIL的诊断符合率分别为86.11%(31/36),91.7%(11/12)及66.7%(16/24),80%(4/5)。结论与CS相比,TCT技术明显提高了标本满意率及宫颈病变的阳性检出率,TCT技术是宫颈病变筛查的有效手段。

引用

页码：640 / 641

页数：2

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