摘要
目的 探析液基细胞学检查（TCT）与阴道镜对宫颈癌前病变的诊断价值。方法整群选择2013年1月—2015年2月收治的96例采取液基细胞学检查与阴道镜筛查宫颈癌前病变的患者,并与病理学检查结果进行对比分析。结果TCT对低级别病变（CIN I）及高级别病变（CIN II、CINIII、癌变）的诊断符合率为53.33%、80.0%;阴道镜对低级别病变及高级别病变的诊断符合率为63.64%、64.29%;阴道镜对低级别病变符合率63.64%%显著高于TCT（χ^2=6.793,P〈0.05）;TCT对高级别病变诊断符合率80.0%显著高于阴道镜（χ^2=7.902,P〈0.05）。结论 TCT与阴道镜对宫颈癌前病变的诊断各有利弊,两者联合能够提高诊断符合率。
Objective To discuss the value of thinprep cytology test and colposcope in diagnosis of precancerous lesions of uterine cervix. Methods 96 cases of patients with precancerous lesions of uterine cervix tested by thinprep cytology and screened by colposcope from January 2013 to February 2015 were selected, and were given comparative analysis with pthological examination results. Results The accordance rate of TCT in diagnosis of low-grade lesions（CINI）and high-grade lesions（CINII, CINIII, canceration）was respectively 53.33% and 80.0%, the accordance rate of colposcope in diagnosis of low-grade lesions and high-grade lesions was respectively 63.64% and 64.29%, the accordance rate of colposcope in diagnosis of low-grade lesions was obviously higher than that of TCT（χ~2=6.793,P〈0.05）; the accordance rate of TCT in diagnosis of high-grade lesions was 80.0%, which was obviously higher than that of colposcope（χ~2=7.902,P0.05）. Conclusion TCT and colposcope in diagnosis of precancerous lesions of uterine cervix have their advantages and disadvantages, and the combination of the both can improve the diagnostic accordance rate.
出处
《中外医疗》
2016年第7期189-190,共2页
China & Foreign Medical Treatment
关键词
TCT
阴道镜
宫颈癌前病变
TCT
Colposcope
Precancerous lesions of uterine cervix
