液基薄层细胞学检查在宫颈病变病理诊断中的意义

李晓燕

（陕西省榆林市府谷县中医医院病理科，陕西 榆林，719499）

浏览次数：169次 下载次数：304次

摘要：

目的 探究液基薄层细胞学检查（TCT）在宫颈病变的病理诊断中的临床意义。方法 选择2015 年1 月至2016 年12 月 在我院进行宫颈病变检查的500 例受检者为研究对象，先后为其进行巴氏涂片检查与TCT 检查，并将检查结果分别与病理 诊断结果进行比照分析，总结两种检查方法的诊断价值高低。结果 TCT 阳性检出率与标本满意率均明显高于巴氏涂片检查（P<0.05）。TCT 在任何一种病理结果上的诊断符合率均要高于巴氏涂片检查；其总的病理结果符合率为64.95%，显著高于巴 氏涂片检查的31.96%（P<0.05）。结论 TCT 取材更加科学合理，检查结果更加清晰准确，且损伤小、阳性率高，可重复进行检 查，是当前进行宫颈病变筛查的主要手段。

关键词：液基薄层细胞学检查（TCT）；巴氏涂片检查；宫颈病变；病理诊断

中图分类号：R737.33文献标志码：A文章编号：2096-1413(2018)01-0137-02

Significance of thinprep cytology test in the pathological diagnosis of cervical lesions
LI Xiao-yan
(Pathophysiology Department, Traditional Chinese Medicine Hospital of Fugu County, Yulin 719499, China)


ABSTRACT: Objective To investigate the clinical significance of thinprep cytology test (TCT) in the pathological diagnosis of cervical lesions. Methods A total of 500 cases of examinees for cervical lesions in our hospital were selected as the research objects from January 2015 to December 2016. The examinees took the Pap smear examination firstly, and then took the TCT. And the test results were compared with the pathological diagnosis results, and the diagnostic value of the two methods of inspection was summarized. Results The positive rate and satisfaction rate of specimens of the TCT were significantly higher than those of the Pap smear examination (P<0.05). The coincidence rate of the TCT in any pathological diagnosis were higher than those of the Pap smear examination. The total coincidence rate of the TCT was 64.95%, which is significantly higher than 31.96% of the Pap smear (P<0.05). Conclusion Getting materials in TCT method is more scientific and reasonable, the test results are more clear and accurate, with less damage and high positive rate, and the examination can be repeated. TCT is the main means of screening for cervical lesions.
KEYWORDS: thinprep cytology test (TCT); Pap smear examination; cervical lesion; pathological diagnosis

参考文献：
[1] 于文力.液基薄层细胞学与活检病理在早期宫颈癌及宫颈上皮内病变中的临床应用价值[J].中国当代医药,2016,23(34):145-147.
[2] 顾军华.薄层液基细胞学检查在宫颈病变诊断中的临床分析[J].中国医药指南,2014,12(5):102-103.
[3] 殷秀琴,王小菊,赵俊英,等.液基细胞学检测及阴道镜检查诊断宫颈病变的临床意义[J].首都医科大学学报,2007,28(5):658-660.
[4] 胡立君.液基薄层细胞学检查对宫颈病变的诊断价值[J].中国医刊,2012,47(9):77-78.
[5] 陈军芳,乔金柱.液基薄层细胞学检测在基层医院宫颈病变诊断中的意义[J].社区医学杂志,2012,10(15):3-5.
[6] 杨永红,王安群,原庆会,等.薄层液基细胞学检查与宫颈涂片检查在宫颈病变诊断中的对比分析[J].中外医疗,2012,31(18):165-166.
[7] 李幸旻,王海云,罗瑞芳,等.液基薄层细胞学检查在妇女宫颈病变 筛查中的临床意义和作用[J].检验医学与临床,2012,9(9):1107-1108.
[8] 崔丽燕.薄层液基细胞学检查在宫颈病变诊断中的意义[J].包头医学院学报,2012,28(2):23-24.
[9] 李功军,邹伟.宫颈液基薄层细胞学检查在宫颈病变诊断中的价值[J].检验医学与临床,2012,9(3):352-353.
[10] 郑国文.宫颈液基薄层细胞学在宫颈病变病理诊断中的意义[J].中国医药指南,2013,11(14):40-41.