传统涂片与液基薄层细胞制片在宫颈脱落细胞学中的应用
比较
廖绍君
【期刊名称】《医药前沿》
【年(卷),期】2013(000)006
【摘要】目的对传统涂片和液基薄层细胞制片在宫颈脱落细胞学中的应用情况进行比较,以寻求筛查宫颈癌和癌前病变的最好方法。方法对2007年3月至2011年10月在我院行传统涂片的4513例和3777例行液基薄层细胞制片的体检人群的结果进行比较。细胞学诊断采用TBS(the Bethesda system)分类诊断系统。结果液基层细胞学在良性改变和正常、诊断意义不明的不典型的鳞状上皮细胞(ASCUS,atypical squamous cels of undetermined significance)、低度鳞状上皮内病变(LSIL,low-grade squamous intraepithelial lesion)及以上病变的诊断方面优于传统涂片,对微生物的总体检出率不如传统涂片,但对滴虫、人类乳头瘤病毒(HPV, human papilo ma virus)和疱疹病毒(HSV, Herpesvirus hominis)的检测方面优于传统涂片。结论液基薄层细胞学在筛查宫颈癌和癌前病变上优于传统涂片。%Objective To find the better method to detect cervical cancer and precancerous lesions through the comparison of traditional pap smear and liqud-based cytology. Methods 4513 cases using traditional pap smear and 3777 cases using liqud-based cytology were analysed in normal people. The Bethesda system was used to diagnose. Results The diagnosis of ASCUS,LSIL and higher grade lesions in liqud-based cytology is better