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目的探讨对宫颈液基薄层细胞学结果与组织病理学诊断的符合率及对子宫颈病变的诊断价值。方法对2009年7月-2011年7月我院4193例宫颈细胞学检查中118例阳性者做阴道镜检及宫颈多点活检组织病理学检查,并进行分析对比。结果慢性炎58例(49.2%);CINⅠ30例(27.8%);CINⅡ19例(32.2%);CINⅢ10例(9.3%);癌1例(0.9%)。结论液基薄层细胞学与病理组织学有较高的符合率,对高级别上皮内瘤变和宫颈癌诊断准确率高,配合病理活检能及早发现CINⅢ级或原位癌。
Objective To investigate the coincidence rate of cervical cytology thin layer cytology and histopathological diagnosis and the diagnostic value of cervical lesions. Methods From July 2009 to July 2011, 118 cases of positive cervical cytology in 4193 cases of cervical cytology from our hospital were examined by colposcopy and multi-biopsy of cervix, and analyzed. Results Chronic inflammation was found in 58 (49.2%) cases; CINⅠ30 cases (27.8%); CINⅡ19 cases (32.2%); CINⅢ10 cases (9.3%) and cancer 1 case (0.9%). Conclusion Liquid-based thin-layer cytology and histopathology have a high coincidence rate, high-grade intraepithelial neoplasia and cervical cancer diagnosis of high accuracy, combined with pathological biopsy can early detection of CIN Ⅲ grade or carcinoma in situ.