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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 investigate the role of liquid-based cytology in the screening of cervical cancer. Methods The LBP test results of 5000 cases were retrospectively analyzed. Cervical biopsy was performed on those with ASC-US or above, and the results were analyzed comparatively. Results The results of LBP showed that the detection rates of ASC-US, ASC-H, LSIL and HSIL were 5.44%, 0.42%, 4.72% and 0.88% respectively. The coincidence rates of LSIL and HSIL with pathological biopsy were 73.9% and 90.2% respectively. Conclusion LBP and histopathology have a high coincidence rate is an effective screening method for cervical lesions, ASC-US diagnosis of more than necessary colposcopy and biopsy combined to prevent misdiagnosis.