{"id":1844,"date":"2017-07-31T17:48:13","date_gmt":"2017-07-31T17:48:13","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/atypical-squamous-cells\/"},"modified":"2017-11-14T12:40:56","modified_gmt":"2017-11-14T12:40:56","slug":"atypical-squamous-cells","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/zh-hans\/gyn-atlas-table-of-contents\/atypical-squamous-cells\/","title":{"rendered":"\u9cde\u72b6\u7ec6\u80de"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”\u9cde\u72b6\u7ec6\u80de” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row el_id=”acknowledgements”][vc_column width=”2\/3″][vc_column_text]<\/p>\n

\u9cde\u72b6\u7ec6\u80de<\/p>\n

\u975e\u5178\u578b\u9cde\u72b6\u7ec6\u80de<\/strong>
\nRichard A. Smith, MD, PhD<\/em><\/p>\n

\u975e\u5178\u578b\u9cde\u72b6\u7ec6\u80de (ASC) \u7684\u8bca\u65ad\u5206\u7ea7\u9887\u5177\u4e89\u8bae\u3002Bethesda \u7cfb\u7edf (TBS) 2001 \u5bf9\u539f\u6709\u5206\u7ea7\u8fdb\u884c\u4e86\u4fee\u8ba2\uff0c\u5e76\u5b9a\u4e49\u4e86\u65b0\u7684\u672f\u8bed\u3002\u5982\u679c\u6240\u51fa\u73b0\u7684\u9cde\u72b6\u5f02\u578b\u8f83\u53cd\u5e94\u6027\u53d8\u5316\u66f4\u4e3a\u660e\u663e\uff0c\u4f46\u5728\u8d28\u91cf\u6216\u6570\u91cf\u4e0a\u4e0d\u53ca\u4f4e\u5ea6\u6216\u9ad8\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8\u4e25\u91cd\uff0c\u5219 TBS \u6307\u51fa\uff1a\u5728\u8bca\u65ad\u65f6\u5e94\u8003\u8651 ASC \u5206\u7c7b\u3002\u6b64\u5916\uff0cTBS \u8fd8\u5f3a\u8c03\u4e86\u5bf9\u6b64\u7c7b\u201c\u610f\u4e49\u4e0d\u660e\u786e\u201d(ASC-US) \u6216\u201c\u4e0d\u80fd\u6392\u9664\u9ad8\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8\u201d(ASC-H) \u8bca\u65ad\u8fdb\u884c\u5b9a\u6027\u7684\u91cd\u8981\u6027\u3002<\/p>\n

\u5bf9 ASC \u8fdb\u884c\u6b63\u786e\u5206\u7c7b\u662f\u7ec6\u80de\u5b66\u6280\u5e08\u548c\u75c5\u7406\u5b66\u5bb6\u6240\u9762\u5bf9\u7684\u6311\u6218\uff1b\u5e76\u4e14\u7531\u4e8e\u6b64\u7c7b\u8bca\u65ad\u5b58\u5728\u4e00\u5b9a\u7684\u4e3b\u89c2\u6027\uff0c\u56e0\u6b64\u8981\u5236\u5b9a\u4efb\u4f55\u4e66\u9762\u6587\u4ef6\u6765\u63cf\u8ff0 ASC \u5f62\u6001\u6807\u51c6\u4e5f\u5b58\u5728\u96be\u5ea6\u3002\u81ea\u91c7\u7528 TBS \u4e4b\u540e\uff0c\u5b9e\u9a8c\u5ba4\u4e13\u5bb6\u5728\u5bf9\u4f20\u7edf\u7684\u5df4\u6c0f\u6d82\u7247\u8fdb\u884c\u8bca\u65ad\u65f6\uff0c\u4fbf\u5c06\u5176\u4f5c\u4e3a\u4e00\u79cd\u201c\u7b3c\u7edf\u201d\u7684\u5206\u7c7b\uff0c\u5e76\u7528\u4e8e\u96be\u4e8e\u5206\u7c7b\u7684\u6d82\u7247\u3002<\/p>\n

\u9644\u7740\u5728\u4f20\u7edf\u5df4\u6c0f\u6d82\u7247\u4e0a\u7684\u5e72\u6270\u7269\u8d28\uff08\u4f8b\u5982\u5e72\u6db8\u7684\u7ec6\u80de\uff0c\u6216\u90e8\u5206\u53d7\u5230\u5e72\u6270\u7684\u7ec6\u80de\uff09\u90fd\u53ef\u80fd\u4f1a\u4f7f\u533b\u751f\u505a\u51fa ASC \u8bca\u65ad\u3002\u6b64\u5916\uff0c\u5e72\u6db8\u7684\u7ec6\u80de\u548c\u6d82\u7247\u64cd\u4f5c\u90fd\u53ef\u80fd\u4f1a\u4f7f\u53cd\u5e94\u6027\u7ec6\u80de\u4e2d\u5f02\u578b\u6027\u7684\u660e\u663e\u7a0b\u5ea6\u52a0\u91cd\u3002\u8fd9\u4e9b\u95ee\u9898\u4f1a\u5bfc\u81f4\u4e00\u4e9b\u5e72\u6270\u56e0\u7d20\uff0c\u5e76\u4f7f\u7ec6\u80de\u5b66\u6280\u5e08\u548c\u75c5\u7406\u5b66\u5bb6\u96be\u4e8e\u5145\u5206\u5c55\u793a\u95ee\u9898\u7ec6\u80de\u7684\u6838\u7ec6\u8282\uff0c\u4ece\u800c\u964d\u4f4e\u4e86\u786e\u8bca\u4f9d\u636e\u7684\u53ef\u9760\u6027\u3002<\/p>\n

\u7531\u4e8e ThinPrep \u6d41\u7a0b\u4e2d\u91c7\u7528\u4e86\u8f6c\u79fb\u6db2\u57fa\u56fa\u5b9a\u6cd5\uff0c\u8fd9\u4f7f\u75c5\u7406\u5b66\u5bb6\u548c\u7ec6\u80de\u5b66\u6280\u5e08\u80fd\u591f\u56de\u907f\u201c\u7b3c\u7edf\u201d\u7684 ASC \u5206\u7c7b\uff0c\u5e76\u80fd\u66f4\u597d\u5730\u5728\u56e0\u53cd\u5e94\u6027\u75c7\u72b6\u5f15\u8d77\u7684\u7ec6\u80de\u53d8\u5316\u3001\u660e\u663e\u7684\u9cde\u72b6\u5f02\u578b\u4ee5\u53ca\u5728\u4e0d\u826f\u75c5\u53d8\u4e4b\u95f4\u8fdb\u884c\u533a\u5206\u3002\u4f46\u8fd9\u5e76\u4e0d\u8868\u793a\u7531\u4e8e\u91c7\u7528\u4e86 ThinPrep \u6d82\u7247\u68c0\u6d4b\u6cd5\uff0c\u4fbf\u4e0d\u4f1a\u4f5c\u51fa ASC \u8bca\u65ad\uff1b\u800c\u662f\u6307\u5b9e\u9a8c\u5ba4\u4eba\u5458\u6709\u673a\u4f1a\u5bf9\u5f62\u6001\u6807\u51c6\u8fdb\u884c\u7ec6\u5206\uff0c\u907f\u514d\u56e0\u6d82\u7247\u8d28\u91cf\u4e0d\u4f73\u800c\u5bfc\u81f4\u7684\u67d0\u4e9b “ASC” \u75c5\u4f8b\uff0c\u5e76\u80fd\u66f4\u597d\u5730\u5206\u8fa8\u51fa\u6709\u6f5c\u5728\u5f02\u5e38\u7684\u75c5\u4f8b\u3002<\/p>\n

<\/a><\/p>\n

\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n

\n\"Image<\/a><\/p>\n
\u4f20\u7edf\u7684\u5df4\u6c0f\u6d82\u7247<\/strong>
\nASC-US<\/div>\n<\/div>\n
\u4f20\u7edf\u7684\u5df4\u6c0f\u6d82\u7247<\/strong>
\nASC-US<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ThinPrep \u6d82\u7247\u68c0\u6d4b<\/strong>
\nASC-US
\n\u6765\u81ea\u76f8\u540c\u60a3\u8005\u7684\u6807\u672c<\/div>\n<\/div>\n
ThinPrep \u6d82\u7247\u68c0\u6d4b<\/strong>
\nASC-US
\n\u6765\u81ea\u76f8\u540c\u60a3\u8005\u7684\u6807\u672c<\/div>\n<\/div>\n
<\/div>\n

<\/a>
\n\u6d82\u7247\u548c\u55b7\u6d12\u56fa\u5b9a\u6db2\u4e2d\u7c98\u7740\u7684\u5e72\u6270\u7269\u8d28\u4f1a\u5e26\u6765\u9ebb\u70e6\uff0cThinPrep \u6d82\u7247\u68c0\u6d4b? \u53ef\u5c06\u8fd9\u4e9b\u7269\u8d28\u964d\u81f3\u6700\u5c11\u3002\u8fd9\u4f7f\u5f97\u7ec6\u80de\u6838\u80fd\u591f\u5f97\u5230\u5145\u5206\u7684\u5c55\u793a\uff0c\u4ece\u800c\u6709\u52a9\u4e8e\u4f5c\u51fa\u66f4\u4e3a\u53ef\u9760\u7684\u8bca\u65ad\u3002\u5bf9\u4e8e\u901a\u5e38\u88ab\u5217\u5165 ASC \u5206\u7c7b\u7684\u4e0a\u76ae\u7ec6\u80de\u800c\u8a00\uff0c\u8fd9\u4e9b\u7ec6\u80de\u662f\u53d8\u5316\u7a0b\u5ea6\u6700\u5c0f\u7684\u6210\u719f\u9cde\u72b6\u7ec6\u80de\u6216\u9cde\u72b6\u4e0a\u76ae\u7ec6\u80de\uff0c\u5e76\u4e14\u4e0d\u8db3\u4ee5\u8bca\u65ad\u4e3a LSIL \u6216 HSIL\u3002\u7ec6\u80de\u6838\u7565\u6709\u589e\u5927\uff0c\u8fd9\u79cd\u589e\u5927\u662f\u76f8\u5bf9\u4e8e\u540c\u7c7b\u7ec6\u80de\u7684\u6b63\u5e38\u672c\u4f53\u800c\u8a00\u7684\u3002\u7ec6\u80de\u6838\u6838\u819c\u53ef\u80fd\u7565\u663e\u4e0d\u89c4\u5219\uff0c\u4f46\u901a\u5e38\u662f\u5e73\u6ed1\u7684\u3002\u5728\u5904\u7406\u5316\u751f\u7ec6\u80de\u65f6\uff0c\u9700\u8981\u786e\u5b9a\u8fd9\u79cd\u4e0d\u89c4\u5219\u6027\u4e0d\u662f\u56e0\u80de\u6838\u53d7\u7a7a\u6ce1\u6324\u538b\u53d8\u5f62\u800c\u9020\u6210\u7684\u3002\u67d3\u8272\u8d28\u7684\u5f62\u6001\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300\u3002\u5982\u679c\u5728\u51fa\u73b0\u53cd\u5e94\u7684\u8fc7\u7a0b\u4e2d\uff0c\u6ca1\u6709\u51fa\u73b0\u975e\u5178\u578b\u7279\u5f81\uff0c\u5219\u67d3\u8272\u4e2d\u5fc3\u6216\u7ec6\u80de\u6838\u901a\u5e38\u4f1a\u4e0d\u660e\u663e\u6216\u7f3a\u5931\uff1b\u8fd9\u65f6\uff0c\u9700\u8981\u6839\u636e\u5176\u5b83\u6807\u51c6\u5b58\u5728\u4e0e\u5426\uff0c\u8003\u8651\u4f5c\u51fa\u4e0d\u540c\u7684\u53cd\u5e94\u8bca\u65ad\u3002<\/p>\n

\u65e0\u8bba\u662f\u4f20\u7edf\u73bb\u7247\uff0c\u8fd8\u662f ThinPrep\u00ae \u73bb\u7247\uff0c ASC \u7684\u8bca\u65ad\u4f9d\u636e\u53ef\u4ee5\u662f\u591a\u79cd\u4e0d\u540c\u7684\u7ec6\u80de\u53d8\u5316\uff08\u5305\u62ec\u4f46\u4e0d\u9650\u4e8e\uff1a\u9cde\u72b6\u5f02\u578b\u3001\u975e\u5178\u578b\u9cde\u72b6\u5316\u751f\uff0c\u4ee5\u53ca\u4e0a\u76ae\u7ec6\u80de\u89d2\u5316\u4e0d\u826f\uff09\u3002\u5bf9\u4e8e ThinPrep \u6d82\u7247\u68c0\u6d4b\uff0cASC \u7684\u8bca\u65ad\u6807\u51c6\u5982\u4e0b\uff1a<\/p>\n

\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u6240\u5448\u73b0\u7684\u7ec6\u80de\u5927\u90e8\u5206\u90fd\u662f\u5355\u4e2a\u7ec6\u80de\uff0c\u5e76\u6709\u5c11\u6570\u7247\u72b6\u7ec6\u80de\u3002 40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u6240\u5448\u73b0\u7684\u7ec6\u80de\u5927\u90e8\u5206\u90fd\u662f\u5355\u4e2a\u7ec6\u80de\uff0c\u5e76\u6709\u5c11\u6570\u7247\u72b6\u7ec6\u80de\u3002 40X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u80de\u6838\u662f\u6b63\u5e38\u4e2d\u5c42\u7ec6\u80de\u6838\u5927\u5c0f\u7684 2.5 \u81f3 3 \u500d\uff0c\u6216\u662f\u6b63\u5e38
\n\u5316\u751f\u7ec6\u80de\u6838\u5927\u5c0f\u7684 1.5 \u81f3 2 \u500d\u3002 40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u80de\u6838\u662f\u6b63\u5e38\u4e2d\u5c42\u7ec6\u80de\u6838\u5927\u5c0f\u7684 2.5 \u81f3 3 \u500d\uff0c\u6216\u662f\u6b63\u5e38
\n\u5316\u751f\u7ec6\u80de\u6838\u5927\u5c0f\u7684 1.5 \u81f3 2 \u500d\u3002 40X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u3002 40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u300240X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u6838\u819c\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219\u3002 60X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u6838\u819c\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219\u300260X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u67d3\u8272\u8d28\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300\u300260X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u67d3\u8272\u8d28\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300\u3002 60X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u6838\u6df1\u67d3\u7684\u60c5\u51b5\u4ece\u6ca1\u6709\u5230\u7565\u6709\u51fa\u73b0\u3002 40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u6838\u6df1\u67d3\u7684\u60c5\u51b5\u4ece\u6ca1\u6709\u5230\u7565\u6709\u51fa\u73b0\u300240X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u6838\u4ec1\/\u67d3\u8272\u4e2d\u5fc3\u4e0d\u660e\u663e\u6216\u7f3a\u5931\u3002
\n40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u6838\u4ec1\/\u67d3\u8272\u4e2d\u5fc3\u4e0d\u660e\u663e\u6216\u7f3a\u5931\u3002
\n40X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u5982\u679c\u51fa\u73b0 HPV \u7ec6\u80de\u611f\u67d3\u548c\/\u6216\u53cc\u6838\uff0c\u5219\u8868\u793a HPV \u53d8\u5316\uff0c\u4f46\u4e0d\u8db3\u4ee5\u8bca\u65ad\u4e3a LSIL\u3002 60X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u5982\u679c\u51fa\u73b0 HPV \u7ec6\u80de\u611f\u67d3\u548c\/\u6216\u53cc\u6838\uff0c\u5219\u8868\u793a HPV \u53d8\u5316\uff0c\u4f46\u4e0d\u8db3\u4ee5\u8bca\u65ad\u4e3a LSIL\u3002
\n60X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u53cc\u6838\u4e0e HPV \u76f8\u4f34\u51fa\u73b0\uff0c\u4f46\u4e5f\u53ef\u5f52\u4e3a\u53cd\u5e94\u8fc7\u7a0b\u3002 20X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u53cc\u6838\u4e0e HPV \u76f8\u4f34\u51fa\u73b0\uff0c\u4f46\u4e5f\u53ef\u5f52\u4e3a\u53cd\u5e94\u8fc7\u7a0b\u3002 20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-US<\/strong>
\n\u5728\u51fa\u73b0\u4e0a\u76ae\u7ec6\u80de\u89d2\u5316\u4e0d\u826f\u7684\u540c\u65f6\uff0c\u6781\u5c11\u6570\u7684\u7ec6\u80de\u53ef\u80fd\u4f1a\u5177\u6709\u591a\u5f62\u6027\uff0c\u5e76\u4e14\u7ec6\u80de\u5927\u5c0f\u548c
\n\u7a7a\u6ce1\u67d3\u8272\u8d28\u53ef\u80fd\u4f1a\u7565\u6709\u589e\u52a0\u3002 40X<\/div>\n<\/div>\n
ASC-US<\/strong>
\n\u5728\u51fa\u73b0\u4e0a\u76ae\u7ec6\u80de\u89d2\u5316\u4e0d\u826f\u7684\u540c\u65f6\uff0c\u6781\u5c11\u6570\u7684\u7ec6\u80de\u53ef\u80fd\u4f1a\u5177\u6709\u591a\u5f62\u6027\uff0c\u5e76\u4e14\u7ec6\u80de\u5927\u5c0f\u548c
\n\u7a7a\u6ce1\u67d3\u8272\u8d28\u53ef\u80fd\u4f1a\u7565\u6709\u589e\u52a0\u3002 40X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-H<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u3001\u6838\u819c\u7565\u6709\u4e0d\u89c4\u5219\uff0c\u5e76\u4e14\u7565\u5e26\u67d3\u8272\u8d28\u6df1\u67d3\u3002\u56fe\u4e2d\u53ef\u89c1\u6bdb\u6ef4\u866b\u3002\u6d3b\u68c0\u663e\u793a\u4e3a\u975e\u5178\u578b\u9cde\u72b6\u5316\u751f\u300260x<\/div>\n<\/div>\n
ASC-H<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u3001\u6838\u819c\u7565\u6709\u4e0d\u89c4\u5219\uff0c\u5e76\u4e14\u7565\u5e26\u67d3\u8272\u8d28\u6df1\u67d3\u3002\u56fe\u4e2d\u53ef\u89c1\u6bdb\u6ef4\u866b\u3002\u6d3b\u68c0\u663e\u793a\u4e3a\u975e\u5178\u578b\u9cde\u72b6\u5316\u751f\u3002 60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
ASC-H<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u3001\u51fa\u73b0\u67d3\u8272\u8d28\u6df1\u67d3\uff0c\u5e76\u4e14\u6838\u819c\u7565\u6709\u4e0d\u89c4\u5219\u7684\u975e\u5178\u578b\u5316\u751f\u7ec6\u80de\u3002\u6d3b\u68c0\u663e\u793a\u4e3a\u4e2d\u5ea6\u5f02\u751f (CIN II) \u548c\u6025\u6162\u6027\u708e\u75c7\u3002 60x<\/div>\n<\/div>\n
ASC-H<\/strong>
\n\u6838\u6d46\u6bd4\u7565\u6709\u5347\u9ad8\u3001\u51fa\u73b0\u67d3\u8272\u8d28\u6df1\u67d3\uff0c\u5e76\u4e14\u6838\u819c\u7565\u6709\u4e0d\u89c4\u5219\u7684\u975e\u5178\u578b\u5316\u751f\u7ec6\u80de\u3002\u6d3b\u68c0\u663e\u793a\u4e3a\u4e2d\u5ea6\u5f02\u751f (CIN II) \u548c\u6025\u6162\u6027\u708e\u75c7\u3002 60x<\/div>\n<\/div>\n
<\/div>\n

\u76f8\u4f3c\u672c\u4f53:<\/p>\n\n\n\n\n\n\n\n\n\n
<\/td>\n\u53cd\u5e94\u6027<\/td>\nASC-US<\/td>\nLSIL<\/td>\n<\/tr>\n
\u7ec6\u80de\u6838<\/td>\n\u589e\u5927 1.5-2 \u500d\uff0c\u6241\u5e73\u72b6<\/td>\n\u589e\u5927 2 -3 \u500d\uff0c\u4ece\u6241\u5e73\u72b6\u81f3\u5f00\u59cb\u5e26\u6709\u8f83\u6df1\u7684\u7126\u8ddd<\/td>\n\u589e\u5927 3-4 \u500d\uff0c\u7565\u5e26\u8f83\u6df1\u7684\u7126\u8ddd<\/td>\n<\/tr>\n
\u6838\u819c<\/td>\n\u5e73\u6ed1<\/td>\n\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219<\/td>\n\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219<\/td>\n<\/tr>\n
\u67d3\u8272\u8d28<\/td>\n\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300<\/td>\n\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300<\/td>\n\u5e7c\u7c92\u72b6\u7ed3\u6784\u7565\u5fae\u589e\u591a\uff0c\u5206\u5e03\u5747\u5300<\/td>\n<\/tr>\n
\u6838\u4ec1\/\u67d3\u8272\u4e2d\u5fc3<\/td>\n\u4ece\u5fae\u5c0f\u5230\u660e\u663e\uff0c\u6709\u65f6\u6709\u591a\u4e2a<\/td>\n\u4ece\u4e0d\u660e\u663e\u5230\u7f3a\u5931<\/td>\n\u7f3a\u5931<\/td>\n<\/tr>\n
\u80de\u6d46\u7279\u5f81<\/td>\n\u51fa\u73b0\u6838\u5468\u6655<\/td>\n\u95ee\u9898\u7a7a\u8154<\/td>\n\u53ef\u8bca\u65ad\u7684 HPV \u7a7a\u8154<\/td>\n<\/tr>\n
\u53cc\u67d3\u6027<\/td>\n\u53ef\u80fd\u4f1a\u51fa\u73b0<\/td>\n\u672a\u51fa\u73b0<\/td>\n\u672a\u51fa\u73b0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u4ee5\u4e0b\u56fe\u7247\u6765\u81ea ThinPrep\u00ae \u6d82\u7247\u68c0\u6d4b\u6807\u672c\uff0c\u53ef\u4ee5\u5408\u7406\u5730\u5c06\u5176\u8bca\u65ad\u4e3a\u53cd\u5e94\u6027\u53d8\u5316\u3001ASC-US \u548c LSIL\u3002<\/p>\n

\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n

\n\"Image<\/a><\/p>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\n\u53cd\u5e94\u6027\u53d8\u5316\uff08\u9634\u6027\u4e0a\u76ae\u5185\u75c5\u53d8\u6216\u6076\u6027\u80bf\u7624\uff09 20x<\/div>\n<\/div>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\n\u53cd\u5e94\u6027\u53d8\u5316\uff08\u9634\u6027\u4e0a\u76ae\u5185\u75c5\u53d8\u6216\u6076\u6027\u80bf\u7624\uff09 20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\nASC-US 60x<\/div>\n<\/div>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\nASC-US 60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\nLSIL 40x<\/div>\n<\/div>\n
\u76f8\u4f3c\u672c\u4f53\uff1a<\/strong>
\nLSIL 40x<\/div>\n<\/div>\n
<\/div>\n

\u5982\u4e0a\u6240\u8ff0\uff0c\u91c7\u7528 ThinPrep\u00ae: \u6d82\u7247\u68c0\u6d4b\u5c06\u4e0d\u4f1a\u6d88\u9664 ASC \u7684\u68c0\u51fa\u3002\u4e8b\u5b9e\u4e0a\uff0c\u7531\u4e8e\u91c7\u7528\u4e86\u6db2\u57fa\u56fa\u5b9a\u6cd5\uff0c\u7ec6\u80de\u7684\u4fdd\u5b58\u6548\u679c\u5f97\u5230\u4e86\u63d0\u9ad8\uff1b\u4f46\u5982\u679c\u4e0d\u719f\u6089\u6db2\u57fa\u56fa\u5b9a\u6cd5\uff08\u5df2\u5728\u6709\u5173\u201c\u5728\u663e\u5fae\u955c\u4e0b\u5bf9 ThinPrep \u73bb\u7247\u8fdb\u884c\u8bc4\u4f30\u201d\u7684\u7b80\u4ecb\u7ae0\u8282\u4e2d\u8fdb\u884c\u4e86\u8ba8\u8bba\uff09\u4e0b\u7684\u7ec6\u80de\u5916\u8c8c\uff0c\u5219\u4f1a\u5c06\u7ec6\u80de\u5927\u5c0f\u548c\u67d3\u8272\u60c5\u51b5\u8fc7\u5ea6\u8bca\u65ad\u4e3a ASC\u3002\u5728\u4e00\u4e9b\u60c5\u51b5\u4e0b\uff0c\u5b9e\u9a8c\u5ba4\u5de5\u4f5c\u4eba\u5458\u5728\u91c7\u7528 ThinPrep \u6d82\u7247\u68c0\u6d4b\u6cd5\u4e0d\u4e45\u4e4b\u540e\uff0c\u53ef\u80fd\u4f1a\u9047\u5230 ASC \u5206\u7c7b\u7684\u68c0\u51fa\u6b21\u6570\u5728\u77ed\u65f6\u95f4\u5185\u589e\u52a0\u7684\u60c5\u51b5\uff1b\u968f\u540e\uff0c\u968f\u7740\u7ecf\u9a8c\u7684\u589e\u957f\uff0c\u53ef\u4ee5\u770b\u5230\u8fd9\u4e00\u68c0\u51fa\u6bd4\u4f8b\u4f1a\u964d\u4f4e\uff0c\u5e76\u5728\u4e0e\u4f7f\u7528\u4f20\u7edf\u5df4\u6c0f\u6d82\u7247\u65f6\u7684\u6bd4\u4f8b\u4e4b\u4e0b\u3002<\/p>\n

\u7531\u4e8e\u4eba\u5de5\u8bca\u65ad\u56fa\u6709\u7684\u4e3b\u89c2\u6027\uff0c\u4ee5\u53ca\u4e0d\u540c\u8bca\u65ad\u6807\u51c6\u7684\u5b58\u5728\uff0c\u56e0\u6b64\u53ea\u8981 ASC \u4ecd\u662f TBS \u4e2d\u7684\u4e00\u7c7b\uff0c\u5c31\u5c06\u4f1a\u88ab\u75c5\u7406\u5b66\u5bb6\u4f7f\u7528\u3002\u6b64\u5916\uff0c\u4eba\u4e73\u5934\u7624\u75c5\u6bd2 (HPV) \u7684\u751f\u7269\u6027\u8d28\u4e5f\u662f\u81f3\u5173\u91cd\u8981\u7684\uff0c\u5b83\u4f1a\u4f7f\u7ec6\u80de\u5185\u7684\u5f62\u6001\u53d1\u751f\u6df7\u4e71\uff0c\u5e76\u4e0e LSIL \u4e0d\u5c3d\u76f8\u540c\u3002\u5728\u6709\u5173\u201c\u4f4e\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8\u201d\u7684\u90e8\u5206\u4e2d\uff0c\u4f1a\u66f4\u52a0\u7ec6\u81f4\u5730\u5bf9 HPV \u6240\u5f15\u8d77\u7684\u5f62\u6001\u53d8\u5316\u4f5c\u51fa\u8ba8\u8bba\u3002\u8fd9\u79cd ASC \u81f4\u75c5\u75c5\u6bd2\u4f7f\u4eba\u4eec\u6709\u673a\u4f1a\u786e\u5b9a ASC \u53d8\u5316\u7684\u76f8\u5bf9\u98ce\u9669\uff1a\u5373\u901a\u8fc7\u5bf9 ThinPrep \u6d82\u7247\u68c0\u6d4b\u6807\u672c\u74f6\u4e2d\u7269\u8d28\u8fdb\u884c\u8f85\u52a9\u68c0\u6d4b\uff0c\u6765\u786e\u5b9a\u75c5\u6bd2\u7684\u9ad8\u5ea6\u4e0e\u4f4e\u5ea6\u98ce\u9669\u7c7b\u578b\u3002<\/p>\n

<\/a>\u5efa\u8bae\u9605\u8bfb\uff1a<\/strong><\/p>\n

    \n
  1. Crum CP et al: Subclassifying atypical squamous cells in ThinPrep cervical cytology correlates with detection of high-risk human papillomavirus DNA. Am J Clin Pathol 1999; 112:384-90<\/li>\n
  2. Dziura B et al: Improved ASCUS diagnosis: Clinical and financial implications for follow-up care. Ob, Gyn. News 1999; 1:12-13<\/li>\n
  3. Ferenczy et al: Diagnostic performance of Hybrid Capture human papilloma virus deoxyribonucleic acid assay combined with liquid-based cytologic study. Am J Obstet Gynecol 1996;175(3 pt.1): 951-6.<\/li>\n
  4. Ferris et al for the Atypical Squamous Cells of Undetermined Significance\/Low-Grade Squamous Intraepithelial Lesions Triage Study (ALTS) group: Cervicography for triage of women with mildly abnormal cervical cytology results. Am J Obstet Gynecol 2001;185(4):939-43.<\/li>\n
  5. Hong et al: Comparative analysis of a liquid based Pap test and concurrent HPV DNA assay of residual samples. ACTA Cytol 2002;46(5):828-34.<\/li>\n
  6. Lin WM et al: Molecular Papanicolaou tests in the twenty-first century: Molecular analyses with fluid-based Papanicolaou technology. Am J Obstet Gynecol 2000; 39-45<\/li>\n
  7. Manos MM et al: Identifying women with cervical neoplasia: Using human papillomavirus DNA testing for equivocal Papanicolaou results. JAMA 1999; 281:1605-10<\/li>\n
  8. Papillo J et al: Evaluation of the ThinPrep Pap Test in clinical practice: a seven-month 16,314 case experience in northern Vermont. Acta Cytologica 1998; 42:204-208<\/li>\n
  9. Quddus et al: Atypical squamous metaplastic cells: Reproducibility, outcome, and diagnostic features on ThinPrep Pap Test. Cancer (Cancer Pathol) 2001:93:16-22.<\/li>\n
  10. Quddus et al: Utility of HPV DNA detection in thin-layer, liquid-based tests with atypical squamous metaplasia. ACTA Cytol 2002;46(5):808-12.<\/li>\n
  11. Sherman et al: Cervical specimens collected in liquid buffer are suitable for both cytologic screening and ancillary human papillomavirus testing. Cancer 1997;81:89-97.<\/li>\n
  12. Sherman et al: Performance of liquid based , thin-layer cervical cytology: Correlation with reference diagnosis and human papilloma virus testing. Mod Pathol 1998;11:837-843.<\/li>\n
  13. Wright et al for the ASCCP-sponsored Consensus Conference: 2001 consensus guidelines for the management of women with cervical cytologic abnormalities. JAMA 2002;287(16):2120-29.<\/li>\n<\/ol>\n

    \u8fd4\u56de\u9876\u90e8<\/a>[\/vc_column_text][vc_column_text css=”.vc_custom_1500390293825{margin-top: 30px !important;}” el_class=”back-to-top”]Back to Top<\/a><\/strong>[\/vc_column_text][\/vc_column][vc_column width=”1\/3″ offset=”vc_hidden-sm vc_hidden-xs”][vc_widget_sidebar sidebar_id=”consulting-right-sidebar”][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

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