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目的:分析研究宫颈癌的筛选与细胞学病理的诊断方法。方法:随机选取2000名已婚妇女为调查对象,通过阴道镜和TCT的方法进行筛查,以活检组织病理学的诊断为最终的诊断标准,并将检查结果与TCT结果进行对照分析。结果:随机抽查的2000例已婚妇女中,有133例被确诊为宫颈癌患者,呈阳性检出率为6.65%。其中进行高危HPV检测妇女为123例,HPV感染检出64例,感染率为52%。有119例妇女进行阴道镜检查以及活体组织检查,最终诊断结果显示88名妇女属于炎症,其余属于CIN I 15例,CINII~III 12例,SCC 4例。结论:TCT细胞学病理的筛选方法能够尽早发现宫颈病变,但对于向宫颈癌病变则需要组织学和细胞学二者结合使用才能提高宫颈癌的诊断率。
Objective: To analyze and screen cervical cancer screening and cytology pathological diagnosis. Methods: A total of 2000 married women were selected randomly as screening subjects and screened by colposcopy and TCT. The biopsy histopathology was diagnosed as the final diagnostic criteria, and the results were compared with TCT results. Results: Among the 2000 randomized women, 133 were diagnosed as cervical cancer and the positive rate was 6.65%. Among them, 123 cases were diagnosed as high-risk HPV, 64 cases were detected by HPV infection, and the infection rate was 52%. A total of 119 women underwent colposcopy and biopsy. The final diagnosis showed that 88 women were inflammatory and the remaining 15 were CIN I, 12 CINII-III and 4 SCC. Conclusion: The screening method for TCT cytology can detect cervical lesions as soon as possible, but the combination of histology and cytology is needed for cervical lesions to improve the diagnostic rate of cervical cancer.