宫颈刮片脱落细胞学检查对宫颈癌筛选的价值

摘要

Objective:To explore the clinical value of cervical smear cytology for cervical cancer screening.Methods:5963 cases of gynecological examination of women underwent the cervical scraping levy cytology and TCT detection,the positive rate was compared.The TCT test result showed positive or suspected positive underwent colposcopy sampling biopsy,and was compared with the results of TCT test.Results:The positive rate of TCT detection of cervical lesions was significantly higher than that in the control group(P<0.01).There were a total of 538 cases of positive or suspected positive subjects by TCT detected, 449 cases of cervical precancerous lesions detected by biopsy,the detection rate was 83.46%.Conclusion:TCT detection of cervical precancerous lesions can help to improve clinical detection rate,the more significant of TCT diagnosis of abnormalities,the detection rate of biopsy is higher.%　　目的：探讨宫颈刮片脱落细胞学检查对宫颈癌筛查的临床价值。方法：5963例妇科体检妇女均行宫颈刮片脱落细胞学检查及TCT检测，比较阳性率；TCT检测结果为阳性或疑似阳性受检者行阴道镜取样病理活检，并与TCT检测结果比较。结果：TCT检测宫颈病变的阳性率明显高于对照组(P<0.01)；TCT检测共发现阳性或疑似阳性受检者538例，病理活检共检出宫颈癌前病变449例，检出率83.46%。结论：TCT检测有利于提高宫颈癌前病变的临床检出率，TCT诊断的异常性越显著，病理活检的检出率越高。