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目的了解性病门诊开展宫颈刮片的意义。方法应用宫颈/阴道细胞学描述性诊断报告系统(TBS)对1 395例就诊者进行宫颈刮片,按分类诊断标准报告细胞学诊断结果。结果 1 395例性病门诊女性就诊者中,宫颈刮片具有细胞形态学改变的占38.57%,其中良性细胞学改变为27.60%,上皮细胞异常占10.97%;宫颈上皮内病变占10.97%,其中,低度鳞状上皮内病变(LSIL)为3.94%,高度鳞状上皮内病变(HSIL)为0.50%,但各年龄组间的发生率差异无统计学意义。结论性病门诊开展宫颈刮片,有利于宫颈上皮不典型鳞状细胞的发现和宫颈癌的早期诊断,并可及时作出相应的提示和治疗,便于临床医生进行处置。
Objective To understand the significance of cervical smear in STD clinics. Methods Cervical / vaginal cytology descriptive diagnostic reporting system (TBS) was performed on 1 395 patients with cervical smear, and the cytological diagnosis was reported according to the diagnostic criteria. Results Among the 1 395 STD clinic women, 38.57% had cervical cell smears with morphological changes, including benign cytological changes of 27.60%, epithelial cells abnormalities of 10.97%, and cervical intraepithelial lesions of 10.97% Low-grade squamous intraepithelial lesion (LSIL) was 3.94%, and high grade squamous intraepithelial lesion (HSIL) was 0.50%, but there was no significant difference between the age groups. Conclusions Strab smears are helpful for the diagnosis of atypical squamous cell of cervical epithelium and early diagnosis of cervical cancer in STD clinics, and prompts and treatments can be made in time to facilitate the clinicians to treat them.