目的：评价TCT（液基薄层细胞学检查）与宫颈刮片在宫颈病变筛查中的应用价值。方法2013年本范围内育龄至<65周岁的妇女，因为重大公共卫生项目， A组：<35周岁的育龄妇女采取宫颈刮片，参与检查共计3661例,为江阴市中医肝胆医院病理科出的报告；B组：35周岁~65周岁之间采取的 TCT检查(培养瓶有国家统一提供湖北孝感某厂商)，共计9845标本，有南京迪安检验公司出检验报告。结果根据数据卡方检验，TCT异常率P1=0.032,宫颈刮片异常率 P2=0.014，Z=1.92，因为检验z0.05/2=0.90，z>z0.05/2，P<0.05，具有统计学意义；病理确诊异常的阳性率 TCT的 P3=0.234，宫颈刮片 P4=0.107，Z2=1.52，检验 z0.05,=0.93，z2>z0.05，P<0.05，具有统计学意义。结论 TCT检出阳性率明显高于传统宫颈刮片,对宫颈病变的筛查具有重要作用,值得推广。%Objective:To evaluate TCT (ThinPrep cytology test) application value and cervical smear in the screening of cervical lesions. Methods: in 2013, the range of age to <65 years old women, because the major public health projects, group A: <35 years old women of childbearing age by cervical scraping smear, participate in the examination in 3661 cases, as the report of hepatobiliary pathology of TCM Hospital of Jiangyin city; group B: 35 years old to 65 years old between take the TCT examination (culture bot le has national unity with Hubei Xiaogan to a vendor), a total of 9845 specimens, a dean of Nanjing inspection, inspection reports. Results:according to the data of chi square test, the abnormal rate of TCT P1=0.032, cervical scraping the abnormal rate of P2=0.014, Z=1.92, z>z0.05/2, P<0.05 for z0.05/2=0.90 inspection, with statistical significance; pathological diagnosis, the positive rate of abnormal TCT P3=0.234, cervical scraping smear P4=0.107, Z2=1.52, =0.93, z2>z0.05, z0.05, P<0.05, with statistical significance. Conclusion: the positive rate of TCT was significantly higher than that of the traditional Pap smear, plays an important role in screening of cervical lesions, worthy of promotion.
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