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Bethesda 2001报告在妇科细胞学筛查中的应用

Application of the Bethesda system 2001 report in gynecological cytologic screening

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【作者】 韩淑梅李春洪冯丽华王红周那

【Author】 HAN Shu-mei~1,LI Chun-hong~(1*),FENG Li-hua~1,et al.(Department of Obstetrics and Gynecology,The First Hospital,Jilin University,Changchun 130021,China)

【机构】 吉林大学第一医院妇产科西藏自治区林芝地区人民医院妇产科吉林大学第一医院儿外科 吉林长春130021吉林长春130021西藏林芝860000

【摘要】 目的探讨Bethesda 2001报告在妇科细胞学筛查中应用的价值。方法应用利普液基细胞学制片技术结合Bethesda 2001报告作为妇科细胞学筛查方法。结果2065例患者取材满意的标本2060例(占99.76%),不满意要求重新取材的标本5例(占0.24%)。检出真菌71例(占3.43%),阴道毛滴虫31例(占1.50%),加德纳菌79例(占3.83%),人乳头瘤病毒42例(占2.03%)。NILM 1995例(占94.67%),ASC-US 24例(占1.16%),ASC-H 12例(占0.58%),LSIL 45例(占2.18%),HSIL 24例(占1.16%),宫颈鳞癌5例(占0.24%)。结论利普液基细胞学制片技术在取材和制片都有所改进,提高了早期宫颈癌及癌前病变的检出率。Bethesda 2001描述性报告内容广泛,具体,更便于临床医师和实验室交流,在妇科细胞学筛查中具有重要意义。

【Abstract】 Objective To discuss the value of applying the Bethesda system 2001 report in gynecological cytologic screening.Methods Apply Liqui-PREP in gynecological cytologic screening and diagnosed with Bethesda 2001 standard.Results 2060 out of 2065 specimens(99.76%) are satisfactory,the rest 5(0.24%)dissatisfactory cases are required to re-smear.as a result,71 cases epiphyte(occupying 3.43%),31 cases trichomonas vaginalis(1.50%),42 cases human papillomavirus(2.03%)are reported.In thoes specimens,there are 1955 cases NILM(94.67%),24 cases ASC-US(1.16%),12 cases ASC-H(0.58%),45 cases LSIL(2.18%),24 cases HSIL(1.16%),5 cases squamous cervical epithelial carcinoma(0.24%).Conclusion Liqui-PREP improves upon both smearing and sheet formatting,increases detectable rate of premature squamous cervical epithelial carcinoma and precancerosis.The descriptively Bethesda system 2001 report has extensive and concrete conten;helps clinicians communicate wiht the laboratory more expediently,The descriptively Bethesda system 2001 report method has import significance in gynecological cytologic screening.

【基金】 吉林省科技厅基金资助项目(20030538-5)
  • 【文献出处】 中国实验诊断学 ,Chinese Journal of Laboratory Diagnosis , 编辑部邮箱 ,2006年09期
  • 【分类号】R446.8
  • 【被引频次】2
  • 【下载频次】35
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