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[目的]对328例宫颈非典型鳞状细胞病例的病理结果进行分析并探讨其临床意义。[方法]依据2001版TBS描述性诊断标准,归类分析病理结果,结合临床进行讨论。[结果]328宫颈非典型鳞状细胞病例中炎症178例,占54.3%;宫颈息肉10例;内膜异位2例;LSIL105例,占32.0%;HSIL26例,占7.9%;癌7例,占2.1%。以LSIL以上病变为阳性,则阳性病例138例,其中LSIL105例,占76.1%;HSIL26例,占18.8%;癌7例,占5.1%。ASC-H共45例,其中检出LSIL17例,占37.8%;HSIL16例,占35.6%;癌6例,占13.3%。[结论]非典型鳞状细胞对宫颈病变有明确的提示作用,临床对ASC应规范管理,可以提高病变的检出率。ASC-H对高级别宫颈病变有高的阳性预测值。
[Objective] To analyze the pathological results of 328 cases of cervical atypical squamous cell and explore its clinical significance. [Methods] Based on the descriptive diagnostic criteria of TBS in 2001 edition, the pathological results were classified and analyzed with the clinical discussion. [Results] 178 cases of cervical atypical squamous cell inflammation in 178 cases, accounting for 54.3%; 10 cases of cervical polyps; 2 cases of endometriosis; LSIL105 cases, accounting for 32.0%; HSIL26 cases, accounting for 7.9%; 7 cases of cancer, Accounting for 2.1%. LSIL above lesions were positive, the positive cases 138 cases, including LSIL 105 cases, accounting for 76.1%; HSIL26 cases, accounting for 18.8%; 7 cases of cancer, accounting for 5.1%. There were 45 cases of ASC-H, of which 17 cases were detected LSIL, accounting for 37.8%; HSIL16 cases, accounting for 35.6%; 6 cases of cancer, accounting for 13.3%. [Conclusion] Atypical squamous cells have a clear indication of cervical lesions, and clinical management of ASC should be standardized to improve the detection rate of lesions. ASC-H has a high positive predictive value for high-grade cervical lesions.