摘要
目的探讨在宫颈病变筛查的过程中宫颈细胞学传统制片及液基制片的应用价值分析。方法随机选择在我院治疗的5000例宫颈病变筛查为研究对象。根据制片方法的不同分为两组,观察组(宫颈细胞学液基制片,共2500例),对照组(宫颈细胞学传统制片,共计2500例)。对两组细胞学阳性率及微生物阳性率结果进行分析。结果观察组非典型鳞状细胞无明确诊断意义(ASC-US)阳性率4.16%,非典型鳞状细胞不排除高度病变(ASC-H)阳性率0.76%,非典型宫颈管腺细胞无特殊指定(AGC-NOS)阳性率0.12%,低度鳞状上皮内病变(LSIL)阳性率1.28%,高度鳞状上皮内病变(HSIL)阳性率1.32%,鳞状细胞癌(SCC)阳性率0.12%;对照组非典型鳞状细胞无明确诊断意义(ASC-US)阳性率3.80%,非典型鳞状细胞不排除高度病变(ASC-H)阳性率1.48%,非典型宫颈管腺细胞无特殊指定(AGC-NOS)阳性率0.24%,低度鳞状上皮内病变(LSIL)阳性率1.36%,高度鳞状上皮内病变(HSIL)阳性率1.28%,鳞状细胞癌(SCC)阳性率0.20%。对照组阴道毛滴虫阳性率5.00%、细菌性阴道病阳性率5.12%、细胞形态符合单纯疱疹病毒所致改变阳性率0.04%;观察组阴道毛滴虫阳性率4.80%、细菌性阴道病阳性率5.44%、细胞形态符合单纯疱疹病毒所致改变阳性率0.12%,两组差异均无统计学意义(P>0.05)。结论在宫颈病变筛查的过程中,传统制片和液基制片虽然制片方法不同,但两种方法均可适用于临床上宫颈病变的筛查。
Objective To exPlore the aPPlication value of traditional and liquid-based cervical cytology in cervical lesion screening.Methods 5000 cases of cervical lesion screening in our hosPital were randomly selected as the research object.According to the different methods of Production,they were divided into two grouPs:the observation grouP(2500 cases of cervical cytology liquid-based Production)and the control grouP(2500 cases of traditional cervical cytology Production).The Positive rates of cytology and microorganisms in the two grouPs were analyzed.Results The Positive rate of atyPical squamous cell(ASC-US),atyPical squamous cell(ASC-H),atyPical cervical duct adenocyte(AGC-NOS),low squamous intraePithelial lesion(LSIL),high squamous intraePithelial lesion(HSIL)and squamous cell were 4.16%,0.76%,0.12%,1.28%and 1.32%resPectively.The Positive rate of cancer(SCC)was 0.12%;the Positive rate of atyPical squamous cell without definite diagnostic significance(ASC-US)was 3.80%;the Positive rate of atyPical squamous cell without excluding high lesion(ASC-H)was 1.48%;the Positive rate of atyPical cervical duct gland cell without sPecial assignment(AGC-NOS)was 0.24%;the Positive rate of lowgrade squamous intraePithelial lesion(LSIL)was 1.36%;the Positive rate of high-grade squamous intraePithelial lesion(HSIL)was 1.28%.The Positive rate of squamous cell carcinoma(SCC)was 0.20%.The Positive rates of Trichomonas vaginalis,bacterial vaginosis and herPes simPlex virus in the control grouP were 5.00%,5.12%and 0.04%resPectively.The Positive rates of Trichomonas vaginalis,bacterial vaginosis and herPes simPlex virus in the observation grouP were 4.80%,5.44%and 0.12%resPectively.There was no significant difference between the two grouPs(P>0.05).Conclusion In the Process of screening cervical lesions,traditional and liquid-based methods are different,but both methods can be aPPlied to clinical screening of cervical lesions.
作者
郑晓露
Zheng Xiao-lu(DePartment of Pathology,Wuzhou Traditional Chinese Medicine courtyard,Guangxi Wuzhou 543002,China)
出处
《实用妇科内分泌电子杂志》
2019年第7期3-5,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫颈细胞学传统制片
液基制片
宫颈病变筛查
traditional cervical cytology Production
liquid-based Production
cervical lesion screening
