ANALYSIS ON RESULT OF CERVICAL THINPREP CYTOLOGY TEST IN 2122 CASES

Objective:To exploit the diagnose accordance rate of the cervical thinprep cytology test( TCT) and tissue biopsy,and to investigate the clinical application value of the TCT technology combined with tissue biopsy in early screening for cervical epithelial lesions. Methods:The results of 2122 cases with cervical TCT inspection were retrospective analyzed. Patients with ASC-US or severe than ASC-US were defined as abnormal cytology according to Bethesda system for cytology classifications. Among 106 cases of abnormal cytology,74 positive patiens received biopsy inspection. The cytology and histology results were compared,and the relationship of lesion and ages were analyzed. Results:In 2122 cases of cervical TCT,the abnormal cytology ratio was 5. 0 %. Among them the ASC-US were 73 cases( 68. 9 %),ASC-H were 5 cases( 4. 71 %),LSIL were 16 cases( 15. 09 %),HSIL were 11 cases( 10. 38 %),and SCC were 2 cases( 2. 7 %). Among the 74 cases of biopsy,cases of inflammation reaction were 26 cases( 35. 14 %),koilocytotic cell 5 cases(6. 76%),CINⅠ48 cases(64. 86%),CINⅡ3 cases(4. 05%),CINⅢ7 cases(9. 46%),squamous carcinoma 2 cases( 2. 7 %),revealing that the cytology results had a high conformity rate with biopsy results. And the onset age of cervical lesions was between 35-65 years old. Conclusion:TCT technology is an effective method for the screening of cervical epithelial lesions with its high accuracy. Combined with TCT and tissue biopsy can greatly improve early diagnosis of CIN and pretent the arising of c cervical carcinoma.