本文選題：宮頸細(xì)胞學(xué) + 不典型腺細(xì)胞　； 參考：《實用婦產(chǎn)科雜志》2017年11期

【摘要】：目的:探討宮頸細(xì)胞學(xué)中不典型腺細(xì)胞(AGC)在篩查預(yù)防病變方面的臨床價值。方法:對細(xì)胞學(xué)檢查診斷為AGC的患者行宮頸活檢+頸管搔刮、宮頸錐切、分段診刮或子宮切除后的病理結(jié)果進(jìn)行回顧性分析。結(jié)果:AGC檢出率為0.6%(1016/157613)。1016例AGC中有效隨訪病例962例,陽性病例302例,陽性率31.4%,其中鱗狀上皮病變113例(37.4%),腺上皮病變173例(57.3%),其他16例(5.3%)。370例≤40歲的患者中有效隨訪病例362例,陽性病例73例(20.2%),其中鱗狀上皮病變45例(61.6%),腺上皮病變24例(32.9%),其他4例(5.5%);40歲的646例患者中有效隨訪病例600例,陽性病例229例(38.2%),其中鱗狀上皮病變68例(29.7%),腺上皮病變154例(67.2%),其他7例(3.1%)。AGC-傾向瘤變有效隨訪病例138例,陽性病例108例(陽性率78.3%),≤40歲和40歲分別以HSIL病變和子宮內(nèi)膜癌檢出率最高。結(jié)論:AGC的檢出率低,≤40歲病例以鱗狀上皮病變?yōu)橹?40歲病例以腺上皮病變?yōu)橹�。AGC-傾向瘤變對宮頸及子宮內(nèi)膜嚴(yán)重病變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，

本文編號：1912085