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TCT联合病理活检及DNA倍体分析在宫颈癌筛查中的价值

, PP. 789-792

Keywords: 液基细胞学技术,宫颈癌,DNA倍体分析,病理活检,LEEP刀

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Abstract:

目的探讨TCT技术、病理活检和DNA倍体分析在宫颈癌筛查中的应用价值。方法随机抽取门诊就诊病人行TCT检查和DNA倍体分析。诊断阳性者,全部在阴道镜下活检,行LEEP术后标本与阴道镜下活检结果进行对照。结果除12例不满意标本外,TCT异常者检出率为8.43%;其中ASCUS占5.03%,LSIL占1.72%,HSIL占1.59%,SCC占0.09%。LEEP术前与术后诊断结果比较,差别有显著性。DNA倍体分析异常者4.46%。结论细胞学筛查与病理活检及DNA倍体分析联合应用,在保证筛查的敏感性的同时能明显提高子宫颈癌前病变及宫颈癌筛查的特异性,提高检出率。

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