摘要
目的:比较巴氏五级分类法与TBS报告系统诊断宫颈细胞异常的阳性率及其与组织病理学诊断的符合率,探讨TBS报告系统在传统宫颈涂片细胞学诊断中的应用价值。方法:对接受宫颈癌及癌前病变筛查者,其中2005年1月至2008年12月间的3781例进行传统宫颈涂片、巴氏染色、巴氏五级分类法进行细胞学诊断;2009年1月至2010年12月间的7888例进行宫颈涂片、巴氏染色、TBS报告系统进行细胞学诊断,其阳性结果的患者进行阴道镜下取宫颈活检、组织病理学检查。结果:使用TBS报告系统诊断检出宫颈异常细胞的阳性率为0.87%(69/7888),与组织病理学诊断总的符合率为95.7%(44/46),均明显高于巴氏五级分类法(P<0.01);传统宫颈涂片经济、简便易行、重复性好、适合于大规模的普查。结论:TBS报告系统可很好的使用于传统涂片的宫颈脱落细胞学检查,尤其在经济欠发达地区宫颈癌筛查中值得推广应用。
Objective：To compare the positive rate and its coincidence with biopsy of Pap＇s classification and The Bethesda System（TBS）,and to explore the value of TBS in cytological examination by conventional smear.Methods：Pap＇s classification were used to examine 3781 conventional smears from January 2005 to December 2008,while 7888 conventional smears from January 2009 to December 2010 were screened by Pap＇s staining-TBS in screening of cervical cancers.Meanwhile the abnormal cases were finally diagnosed by histopathology.Results：The positive rate（0.87%） and The coincidence with biopsy（95.7%） of TBS were significantly higher than those in Pap＇s classification,respectively（P0.01）.Conventional smears was a simple and cheap method in screening of cervical cancers.Conclusion：TBS may serve was a useful method for screening high-risk group of cervical cancers using conventional smears in backward areas.
出处
《陕西医学杂志》
CAS
2011年第10期1295-1297,共3页
Shaanxi Medical Journal
关键词
子宫颈肿瘤
多相筛查
@TBS诊断系统
Uterine cervical neoplasms Multiphasic screening @The bethesda system
