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利用宫颈细胞电脑检查系统(CCT)对461例宫颈涂片作细胞学诊断,所有涂片经全自动电脑分析检测,找出可疑的128个视野的细胞储存于数码磁带,由病理细胞学专家在高分辨电脑显示器作进一步复诊,对可疑细胞经显示器的坐标位置在光镜下复阅玻片,作出最后诊断.结果:鳞状上皮浸润癌3例(0.65%),宫颈上皮内瘤样病变10例(2.17%),上皮内非典型细胞15例(3.25%),乳头状瘤病毒感染13例(2.82%),念珠菌及滴虫感染分别是17例(3.69%)及8例(1.74%).随机抽取包括阳性结果的300张徐片,用人手光镜诊断作为对照,结果存在差异,对晚期严重病变,CCT与人手光镜结果一致,但对宫颈上皮内瘤样病变、非典型细胞及乳头状瘤病毒感染等早期病变,CCT阳性检出率明显高于人手光镜.
461 cervical smears were cytologically diagnosed using the Cervical Cell Computerized Examination System (CCT). All the smears were analyzed by computerized automated detection to identify suspicious cells of 128 fields of view stored in digital tapes, High resolution computer monitors for further referral, the suspicious cells through the display coordinate position in the light microscope review the slide, to make the final diagnosis.Results: 3 cases of squamous cell carcinoma (0.65%), cervical intraepithelial neoplasia 10 (2.17%), 15 cases (3.25%) of intraepithelial atypical cells, 13 cases (2.82%) of papillomavirus infection, 17 cases (3.69%) and 8 cases (1.74% ) .Selecting 300 pieces of the x-ray film including positive results at random, the results of which were different with the manual photomicroscopy. The results of CCT and manual light microscope were the same for advanced severe disease. However, for cervical intraepithelial neoplasia, atypical cells And papillomavirus infection and other early lesions, CCT positive detection rate was significantly higher than manual light microscope.