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目的:观察宫颈刮片(TBS分类)在农村妇女宫颈癌筛查中的临床价值。方法:2010年9月～2011年9月采取宫颈刮片(TBS分类)法对浙江省温州市鹿城区1 806例农村妇女进行宫颈癌筛查,对结果异常者进行阴道镜及宫颈活检检查。结果:有28例(1.6%)宫颈刮片检查阳性,均行阴道镜和宫颈活检。确诊宫颈病变21例(75.0%),其中CINⅠ级5例(23.8%),CINⅡ级8例(38.1%),CINⅢ级7例(33.3%),宫颈浸润性癌1例(3.6%)。结论:宫颈刮片(TBS分类)作为宫颈癌的筛查方法具有较高的准确率,且费用低,操作简单,特别适于在经济不发达地区筛查宫颈癌使用。
Objective: To observe the clinical value of cervical smears (TBS classification) in screening cervical cancer in rural women. Methods: From September 2010 to September 2011, cervical smears (TBS classification) were used to screen 1 806 rural women in Lucheng District, Wenzhou City, Zhejiang Province. Colposcopy and cervical biopsy were performed on those with abnormal results. Results: There were 28 cases (1.6%) of cervical smears were positive, both colposcopy and cervical biopsy. Cervical lesions were diagnosed in 21 cases (75.0%), including 5 cases (23.8%) of CINⅠ, 8 cases (38.1%) of CINⅡ, 7 cases of CINⅢ (33.3%) and 1 case of invasive cervical carcinoma (3.6%). Conclusion: The cervical smear (TBS classification) as a screening method for cervical cancer has high accuracy, low cost and simple operation. It is especially suitable for screening cervical cancer in economically underdeveloped areas.