宫颈细胞学筛查中不典型腺细胞的临床意义

发布时间：2018-05-19 23:07

  本文选题：宫颈细胞学 + 不典型腺细胞　； 参考：《实用妇产科杂志》2017年11期

【摘要】：目的:探讨宫颈细胞学中不典型腺细胞(AGC)在筛查预防病变方面的临床价值。方法:对细胞学检查诊断为AGC的患者行宫颈活检+颈管搔刮、宫颈锥切、分段诊刮或子宫切除后的病理结果进行回顾性分析。结果:AGC检出率为0.6%(1016/157613)。1016例AGC中有效随访病例962例,阳性病例302例,阳性率31.4%,其中鳞状上皮病变113例(37.4%),腺上皮病变173例(57.3%),其他16例(5.3%)。370例≤40岁的患者中有效随访病例362例,阳性病例73例(20.2%),其中鳞状上皮病变45例(61.6%),腺上皮病变24例(32.9%),其他4例(5.5%);40岁的646例患者中有效随访病例600例,阳性病例229例(38.2%),其中鳞状上皮病变68例(29.7%),腺上皮病变154例(67.2%),其他7例(3.1%)。AGC-倾向瘤变有效随访病例138例,阳性病例108例(阳性率78.3%),≤40岁和40岁分别以HSIL病变和子宫内膜癌检出率最高。结论:AGC的检出率低,≤40岁病例以鳞状上皮病变为主,40岁病例以腺上皮病变为主。AGC-倾向瘤变对宫颈及子宫内膜严重病变有非常重要的提示作用。
[Abstract]:Objective: to investigate the clinical value of atypical glandular cell AGCin cervical cytology in screening and preventing pathological changes. Methods: the pathological results of cervical biopsy, cervical canal curettage, cervical conization, segmental curettage or hysterectomy in patients diagnosed as AGC by cytology were analyzed retrospectively. Results the positive rate of AGC was 0.61016 / 1576131.1016 cases (962 cases) and positive cases (302 cases), the positive rate was 31.4% (113 cases with squamous epithelium lesions), 173 cases with glandular epithelium lesions (57. 3%), and 362 cases with other 16 cases (鈮，

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