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目的探讨液基细胞学检查(thin-prep cytology test,TCT)在宫颈病变筛查中的价值。方法对本院24687例进行TCT检查的病例结果进行分析,并对其中有相应宫颈活检病理结果的338例进行对照分析。结果 24687例TCT样本中,阳性病例680例,有阴道镜活检病理结果者338例。其中TCT检查结果为ASC-US者267例,经活检证实为阳性者107例(40.1%),其余ASC-H、LSIL、HSIL分别为20/23(87.0%),38/44(86.4%),4/4(100%)。结论 TCT检查判断为ASC-H,LSIL及HSIL者,与病理活检结果符合率较高,ASC-US阳性的病例与活检符合率稍低,需要进一步研究完善。
Objective To investigate the value of thin-prep cytology test (TCT) in the screening of cervical lesions. Methods 24687 cases of our hospital for TCT examination results of the case analysis, and the corresponding cervical biopsy results of 338 cases were compared. Results Of the 24,687 TCT samples, there were 680 positive cases and 338 colposcopic biopsy results. The results of TCT showed that there were 267 cases of ASC-US, 107 cases (40.1%) were confirmed positive by biopsy, the other ASC-H, LSIL and HSIL were 20/23 (87.0%) and 38/44 , 4/4 (100%). Conclusions The coincidence rate of pathological biopsy with ASC-H, LSIL and HSIL in TCT examination is higher, and the coincidence rate of ASC-US positive cases and biopsy is slightly lower, which needs further study and perfection.