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DNA倍体分析在宫颈病变诊断中的价值

Dignosis of DNA ploid analysis in cervical disease

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【作者】 李建业朱淑霞

【Author】 LI Jian-ye~1 ZHU Shu-xia (1 The Second Hospital,Hebei Medical University,Shijiazhuang 050000,P.R.China)

【机构】 河北医科大学第二医院武警河北总队医院 河北石家庄 050000

【摘要】 目的探讨宫颈细胞DNA倍体分析在宫颈病变诊断中的价值。方法对接受宫颈癌普查的妇女用宫颈刷取材,液基薄层制片,制片后剩余细胞行流式细胞术DNA倍体分析;对其中290例患者做了活检病理诊断,其中非典型鳞状上皮增生(ASCUS)120例、低度宫颈上皮内瘤变(LSIL)90例、高度宫颈上皮内瘤变(HSIL)60例、鳞状上皮癌(SCC)20例。结果DNA异倍体在ASCUS、LSIL、HSIL、SCC组中的检出率分别为3.3%、31%、93%、100%;LSIL、HSIL、SCC三组与ASCUS组相比,P均<0.05;HSIL、SCC二组与LSIL组相比,P均<0.05;ASCUS、LSIL、HSIL、SCC组中,非DNA整倍体细胞者分别有25%、85.7%、96%、100%发生了2级宫颈上皮内瘤样病变(CIN2)及以上级别的病变。结论DNA倍体分析可以明显提高CIN2及以上级别宫颈病变的检出率。

【Abstract】 [Objective] To explore the the vnlue of DNA ploid analysis in cervical disease.[Methods] FCM was used to detect the cervical cells of 290 patients including atypical squamons cells of undetermined significance(ASCUS)120 ca- ses,low-grade squamons intraepithelial lesion(LSIL) 90 cases,high- grade squamous intraepithelial lesion(HSIL) 60 cases,squamous cell cancer (SCC) 20 cases.[Results] The rate of DNA heteroploid was 3.3% in ASCUS group,31% in LSIL group,93% in HSIL group,100% in SCC group.Heteroploid level of LSIL,HSIL in SCC group were different from that of ASCUS group(P<0.05).Heteroploid level of HSIL in SCC group were different from that of LSIL group(P<0.05).The rate of CIN2 or above CIN2 were 25%,85.7%,96%,100% in the the group of ASCUS,LSIL,HSIL,SCC with the heteroploid.[Conclusion] DNA ploid analysis can be successfully used to detect CIN2 or above CIN2 lesions.

  • 【文献出处】 山东医药 ,Shandong Medical Journal , 编辑部邮箱 ,2007年24期
  • 【分类号】R711.74
  • 【被引频次】4
  • 【下载频次】129
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