摘要
目的探讨液基细胞学LBP在宫颈癌筛查中的作用。方法回顾性分析5000例体检者的LBP检测结果,并对ASC-US以上者进行宫颈活检,然后将结果对照分析。结果 LBP检测结果显示ASC-US、ASC-H、LSIL和HSIL检出率分别为5.44%,0.42%,4.72%,0.88%。LSIL和HSIL与病理活检诊断符合率分别为73.9%和90.2%。结论 LBP与病理组织学有较高的符合率,是宫颈病变筛查的有效方法,诊断ASC-US以上者必要时结合阴道镜和病理活检,以防漏误诊。
Objective To study the effect of ThinPrep cytology test(LBP)in screening uterine cervix cancer.Methods Examination results of 5000 cases who were received LBP in health examination were retrospectively analyzed.The cases with abnormal result were confirmed by histopathologic examination.Correlation analysis of the result was conducted.Results LBP test results showed atypical squamous cells of undetermined significance(ASC-US).Atypical squamous cells,cannot exclude high-grade squamous intraepithelial lesion(ASC-H).Low grade squamous ontraepithelial lesion(LSIL)and high grade squamous intraepithelial lesion(HSIL)detection rates were 5.44%,0.42%,4.72% and 0.88%,respectively.Diagnosis accordance rate of Pathological examination and LSIL was 73.9%,and HSIL was 90.2%.Conclusion The diagnose accordance rate of the LBP is well consistent with histopathology,indicating LBP is an effective method for screening cervical intraepithelial lesion.Each case diagnosed as ASC or CIN by LBP should be diagnosed by colposcopy and biopsy to avoid misdiagnosis.
出处
《中国实用医药》
2011年第18期30-31,共2页
China Practical Medicine
关键词
安必平LBP
宫颈癌
病理活检
筛查
ThinPrep cytology test
Uterine cervix cancer
Biopsy
Screening