{"id":1920,"date":"2017-07-31T17:49:22","date_gmt":"2017-07-31T17:49:22","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/gyn-atlas-table-of-contents\/low-grade-squamous-intraepithelial-lesion\/"},"modified":"2017-11-15T06:40:19","modified_gmt":"2017-11-15T06:40:19","slug":"low-grade-squamous-intraepithelial-lesion","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/zh-hans\/gyn-atlas-table-of-contents\/low-grade-squamous-intraepithelial-lesion\/","title":{"rendered":"\u4f4e\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8 (LSIL)"},"content":{"rendered":"<p>[vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; offset=&#8221;vc_hidden-lg vc_hidden-md&#8221;][vc_raw_html 0=&#8221;&#8221;]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;\u4f4e\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8 (LSIL) &#8221; font_container=&#8221;tag:h1|text_align:center&#8221; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row el_id=&#8221;acknowledgements&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<strong> \u4f4e\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8 (LSIL) <\/strong><br \/>\n<em>Diane D. Davey, MD<br \/>\n<\/em><\/p>\n<p>\u9cde\u72b6\u5f02\u578b\u7684\u7279\u5f81\u662f\u6b63\u5e38\u7ec6\u80de\u7684\u7ec6\u80de\u8d28\u4e2d\u81f3\u5c11\u5448\u73b0\u51fa\u4e86\u4e00\u4e9b\u9cde\u72b6\u7279\u5f81\u3002\uff08\u5efa\u8bae\u9605\u8bfb 1\uff09 \u5f02\u578b\u6027\u5206\u7ea7\u53cd\u6620\u4e86\u6240\u6d89\u53ca\u7ec6\u80de\u7684\u6210\u719f\u7a0b\u5ea6\u3002\u4f8b\u5982\uff0c\u8f7b\u5ea6\u5f02\u578b\u53cd\u6620\u4e86\u6210\u719f\u7684\u5316\u751f\u7ec6\u80de\u3001\u8868\u5c42\u7ec6\u80de\u53ca\u4e2d\u5c42\u7ec6\u80de\uff1b\u800c\u6076\u6027\u7a0b\u5ea6\u66f4\u9ad8\u7684\u4e0d\u826f\u4e0a\u76ae\u7ec6\u80de\u5219\u53cd\u6620\u4e86\u6210\u719f\u7a0b\u5ea6\u8f83\u4f4e\u7684\u6b63\u5e38\u4e0a\u76ae\u7ec6\u80de\uff08\u4f8b\u5982\uff1a\u526f\u57fa\u5e95\u5c42\u7ec6\u80de\u548c\/\u6216\u672a\u6210\u719f\u7684\u5316\u751f\u7ec6\u80de\u3002\u968f\u7740 &#8220;The Bethesda System for Classification of Cervical Vaginal Diagnoses&#8221;\uff08Bethesda \u5bab\u9888\u9634\u9053\u8bca\u65ad\u5206\u7c7b\u7cfb\u7edf\uff09\u7684\u51fa\u73b0\uff0c\u672f\u8bed\u201c\u5f02\u578b\u201d\u7684\u4f7f\u7528\u6709\u6240\u51cf\u5c11\uff0c\u4eba\u4eec\u503e\u5411\u4e8e\u4f7f\u7528\u4f4e\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8 (LSIL) \u6216\u9ad8\u5ea6\u9cde\u72b6\u4e0a\u76ae\u5185\u75c5\u53d8 (HSIL)\u3002\u8d2f\u7a7f\u672c\u56fe\u8c31\u59cb\u672b\uff0c\u6211\u4eec\u90fd\u5c06\u4f7f\u7528 Bethesda \u7cfb\u7edf\u7684\u540d\u8bcd\u672f\u8bed\u3002<\/p>\n<p>ThinPrep \u73bb\u7247\u4e0a\u7684 LSIL\uff08\u5305\u62ec\u4e0e\u4eba\u4e73\u5934\u7624\u75c5\u6bd2 (HPV) \u6709\u5173\u7684\u53d8\u5316\uff09\u5f62\u6001\u4e0e\u4f20\u7edf\u6d82\u7247\u4e0a\u7684 LSIL \u57fa\u672c\u76f8\u540c\u3002\u8fd9\u79cd\u76f8\u4f3c\u6027\u53ef\u90e8\u5206\u5f52\u7ed3\u4e8e\uff1a\u4e0d\u7ba1\u56fa\u5b9a\u662f\u5426\u5145\u5206\uff0c\u6216\u662f\u4f20\u7edf\u6d82\u7247\u4e0a\u662f\u5426\u7c98\u7740\u6709\u6d82\u7247\u5e72\u6270\u7269\u8d28\uff0c\u6210\u719f\u7684\u4e0a\u76ae\u7ec6\u80de\u90fd\u80fd\u591f\u4fdd\u6301\u5176\u5b8c\u6574\u6027\u3002\u8fd9\u79cd\u5b8c\u6574\u6027\u662f\u56e0\u80de\u6d46\u89d2\u8d28\u5316\u800c\u4f7f\u7ec6\u80de\u5177\u6709\u4e00\u5b9a\u786c\u5ea6\u6240\u5bfc\u81f4\u7684\u3002<\/p>\n<p>\u7531\u4e8e\u5f62\u6001\u4e0a\u7684\u539f\u56e0\uff0c\u4f4e\u5ea6\u75c5\u53d8\u7ec6\u80de\u5c5e\u4e8e\u6700\u5bb9\u6613\u627e\u5230\u548c\u5206\u8fa8\u7684\u4e0a\u76ae\u5185\u5f02\u578b\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0cLSIL \u80de\u6838\u6700\u5927\uff1b\u4e0e HSIL \u6216\u7ec6\u80de\u764c\u76f8\u6bd4\uff0c\u5176\u6838\u6d46\u6bd4\u8f83\u4f4e\u3002\u8fd9\u4e9b\u7ec6\u80de\u7684\u6838\u5f02\u578b\u6027\u8981\u6bd4 ASCUS \u660e\u663e\uff0c\u5e76\u4e14\u6838\u5927\u5c0f\u589e\u5927\uff0c\u67d3\u8272\u8d28\u7684\u4e0d\u89c4\u5219\u6027\u4ee5\u53ca\u6838\u5305\u819c\u7684\u4e0d\u89c4\u5219\u6027\u90fd\u8f83\u4e3a\u660e\u663e\u3002\u80de\u6838\u7684\u67d3\u8272\u7a0b\u5ea6\u6709\u65f6\u53ef\u80fd\u4e0d\u53ca\u4f20\u7edf\u6d82\u7247\u6df1\uff1b\u4f46\u4e0e\u5468\u56f4\u7684\u6b63\u5e38\u7ec6\u80de\u76f8\u6bd4\uff0c\u5176\u67d3\u8272\u7a0b\u5ea6\u901a\u5e38\u8f83\u6df1\u3002\u7531\u4e8e\u91c7\u7528\u4e86\u6db2\u57fa\u56fa\u5b9a\u548c\u8f6c\u79fb\u6280\u672f\uff0c\u5e76\u4ee5\u6b64\u6d88\u9664\u4e86\u56e0\u4f20\u7edf\u6d82\u7247\u6cd5\u6240\u5bfc\u81f4\u7684\u7ec6\u80de\u53d8\u5f62\uff0c\u56e0\u6b64\u4e0e HPV \u6709\u5173\u7684\u53d8\u5316\uff08\u4f8b\u5982\uff1a\u80de\u6d46\u7a7a\u8154\uff09\u53d8\u5f97\u66f4\u4e3a\u660e\u663e\u3002ThinPrep \u6d82\u7247\u6cd5\u80fd\u591f\u4f7f\u8fd9\u4e9b\u7ec6\u80de\u53d8\u5316\u5f97\u5230\u66f4\u597d\u7684\u4fdd\u7559\uff0c\u4ece\u800c\u6613\u4e8e\u5728 HPV \u6240\u5f15\u8d77\u7684\u80de\u6d46\u7a7a\u8154\u548c\u826f\u6027\/\u53d8\u6027\u7a7a\u6ce1\u4e4b\u95f4\uff0c\u4ee5\u53ca\/\u6216\u5728\u7cd6\u539f\u9cde\u72b6\u7ec6\u80de\u4e4b\u95f4\u8fdb\u884c\u533a\u5206\u3002<\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 7px;\"><a style=\"width: 300px; display: block;\"><img loading=\"lazy\" decoding=\"async\" id=\"selfAssessImg\" src=\"\/images\/button27h.gif\" width=\"350\" height=\"40\" \/><\/a><\/p>\n<div class=\"highslide-gallery\"><strong>\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0039.jpg\" name=\"pap\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0039.jpg\" alt=\"Image 1\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u4f20\u7edf\u7684\u5df4\u6c0f\u6d82\u7247<\/strong><br \/>\nLSIL<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u4f20\u7edf\u7684\u5df4\u6c0f\u6d82\u7247<\/strong><br \/>\nLSIL<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0040.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0040.jpg\" alt=\"Image 2\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>ThinPrep \u6d82\u7247\u68c0\u6d4b<\/strong><br \/>\nLSIL<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>ThinPrep \u6d82\u7247\u68c0\u6d4b<\/strong><br \/>\nLSIL<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0041.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0041.jpg\" alt=\"Image 3\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u6d3b\u68c0<\/strong><br \/>\nCIN1<br \/>\n\u6765\u81ea\u76f8\u540c\u60a3\u8005\u7684\u6807\u672c<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u6d3b\u68c0<\/strong><br \/>\nCIN1<br \/>\n\u6765\u81ea\u76f8\u540c\u60a3\u8005\u7684\u6807\u672c<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0042.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0042.jpg\" alt=\"Image 4\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u7ec6\u80de\u80de\u6d46\u7684\u8fb9\u7f18\u660e\u663e\uff0c\u8868\u793a\u9cde\u72b6\u7ec6\u80de\u548c\u5316\u751f\u7ec6\u80de\u5df2\u7ecf\u6210\u719f\u3002<br \/>\n60X<\/p>\n<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u7ec6\u80de\u80de\u6d46\u7684\u8fb9\u7f18\u660e\u663e\uff0c\u8868\u793a\u9cde\u72b6\u7ec6\u80de\u548c\u5316\u751f\u7ec6\u80de\u5df2\u7ecf\u6210\u719f\u3002<br \/>\n60X<\/p>\n<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0043.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0043.jpg\" alt=\"Image 5\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u5927\u90e8\u5206\u7ec6\u80de\u4ee5\u5355\u4e2a\u7ec6\u80de\u7684\u5f62\u5f0f\u51fa\u73b0\uff0c\u5e76\u5448\u6241\u5e73\u7247\u72b6\u6392\u5217\u6216\u5375\u77f3\u5f62\u6392\u5217\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u5927\u90e8\u5206\u7ec6\u80de\u4ee5\u5355\u4e2a\u7ec6\u80de\u7684\u5f62\u5f0f\u51fa\u73b0\uff0c\u5e76\u5448\u6241\u5e73\u7247\u72b6\u6392\u5217\u6216\u5375\u77f3\u5f62\u6392\u5217\u3002 60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0044.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0044.jpg\" alt=\"Image 6\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u6bd4\u6b63\u5e38\u7684\u4e2d\u5c42\u7ec6\u80de\u6838\u589e\u5927\u4e86 3-4 \u500d\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u6bd4\u6b63\u5e38\u7684\u4e2d\u5c42\u7ec6\u80de\u6838\u589e\u5927\u4e86 3-4 \u500d\u300260X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0045.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0045.jpg\" alt=\"Image 7\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u5728\u5927\u5c0f\u548c\u5f62\u72b6\u4e0a\u5c06\u4f1a\u7565\u6709\u53d8\u5316\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u5728\u5927\u5c0f\u548c\u5f62\u72b6\u4e0a\u5c06\u4f1a\u7565\u6709\u53d8\u5316\u3002 60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0046.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0046.jpg\" alt=\"Image 8\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u5728\u6240\u5448\u73b0\u7684 HPV \u4e2d\uff0c\u53ef\u80fd\u4f1a\u770b\u5230\u53cc\u6838\u6216\u591a\u6838\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u5728\u6240\u5448\u73b0\u7684 HPV \u4e2d\uff0c\u53ef\u80fd\u4f1a\u770b\u5230\u53cc\u6838\u6216\u591a\u6838\u300260X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0047.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0047.jpg\" alt=\"Image 9\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u6240\u5448\u73b0\u51fa\u7684\u6838\u819c\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219\u3002<br \/>\n60X<\/p>\n<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u80de\u6838\u6240\u5448\u73b0\u51fa\u7684\u6838\u819c\u4ece\u5e73\u6ed1\u53d8\u5f97\u7565\u6709\u4e0d\u89c4\u5219\u3002<br \/>\n60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0031.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0031.jpg\" alt=\"Image 10\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u67d3\u8272\u8d28\u7565\u663e\u7c97\u7cd9\uff0c\u4f46\u5206\u5e03\u5747\u5300 ?\u5982\u679c HPV<br \/>\n\u7ec6\u80de\u611f\u67d3\u660e\u663e\uff0c\u5219\u53ef\u80fd\u4f1a\u51fa\u73b0\u53d8\u6027\u6216\u4f7f\u80de\u6838\u663e\u5f97\u201c\u6a21\u7cca\u201d\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u67d3\u8272\u8d28\u7565\u663e\u7c97\u7cd9\uff0c\u4f46\u5206\u5e03\u5747\u5300 ?\u5982\u679c HPV<br \/>\n\u7ec6\u80de\u611f\u67d3\u660e\u663e\uff0c\u5219\u53ef\u80fd\u4f1a\u51fa\u73b0\u53d8\u6027\u6216\u4f7f\u80de\u6838\u663e\u5f97\u201c\u6a21\u7cca\u201d\u3002 60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0032.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0032.jpg\" alt=\"Image 11\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u67d3\u8272\u8d28\u7565\u6709\u6df1\u67d3\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u67d3\u8272\u8d28\u7565\u6709\u6df1\u67d3\u3002 60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0033.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0033.jpg\" alt=\"Image 12\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u5bf9\u4e8e\u4e0a\u8ff0\u7528\u4e8e\u8bca\u65ad\u5177\u6709 HPV \u7ec6\u80de\u53d8\u5316\u7684 LSIL \u6807\u51c6\uff0c\u5982\u679c\u7ed3\u5408\u8be5\u6807\u51c6\uff0c\u5219\u6240\u51fa\u73b0\u7684\u9cde\u72b6\u7ec6\u80de\u5fc5\u987b\u5177\u6709\u6e05\u6670\u3001\u6613\u4e8e\u5206\u8fa8\u7684\u80de\u6d46\u7a7a\u8154\uff0c\u5e76\u4e14\u5468\u56f4\u8fd8\u6709\u5bc6\u5ea6\u8f83\u9ad8\u7684<br \/>\n\u80de\u6d46\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u5bf9\u4e8e\u4e0a\u8ff0\u7528\u4e8e\u8bca\u65ad\u5177\u6709 HPV \u7ec6\u80de\u53d8\u5316\u7684 LSIL \u6807\u51c6\uff0c\u5982\u679c\u7ed3\u5408\u8be5\u6807\u51c6\uff0c\u5219\u6240\u51fa\u73b0\u7684\u9cde\u72b6\u7ec6\u80de\u5fc5\u987b\u5177\u6709\u6e05\u6670\u3001\u6613\u4e8e\u5206\u8fa8\u7684\u80de\u6d46\u7a7a\u8154\uff0c\u5e76\u4e14\u5468\u56f4\u8fd8\u6709\u5bc6\u5ea6\u8f83\u9ad8\u7684<br \/>\n\u80de\u6d46\u300260X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0034.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0034.jpg\" alt=\"Image 13\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u7cd6\u539f<\/strong><br \/>\n\u5bf9\u4e8e\u8f83\u5927\u7684\u6838\u5468\u6655\u6216\u7a7a\u6ce1\uff0c\u5982\u679c\u4e0d\u6ee1\u8db3\u4e0a\u8ff0\u6807\u51c6\uff0c\u5219\u4e0d\u80fd\u5f52\u4e3a\u6b64\u7c7b 40X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u7cd6\u539f<\/strong><br \/>\n\u5bf9\u4e8e\u8f83\u5927\u7684\u6838\u5468\u6655\u6216\u7a7a\u6ce1\uff0c\u5982\u679c\u4e0d\u6ee1\u8db3\u4e0a\u8ff0\u6807\u51c6\uff0c\u5219\u4e0d\u80fd\u5f52\u4e3a\u6b64\u7c7b\u3002 40X<\/div>\n<\/div>\n<div class=\"newRow\"><\/div>\n<p><a name=\"assess\"><\/a><br \/>\n\u7531\u4e8e\u8fd9\u4e9b\u7ec6\u80de\u662f\u6210\u719f\u7684\u9cde\u72b6\u7ec6\u80de\uff0c\u5b83\u4eec\u53ef\u4ee5\u4fdd\u6301\u81ea\u8eab\u7684\u591a\u8fb9\u5f62\u5f62\u72b6\uff0c\u5e76\u4e14\u5728\u5927\u591a\u6570\u60c5\u51b5\u4e0b\u90fd\u80fd\u4fdd\u6301\u5176\u6b63\u5e38\u7684\u5927\u5c0f\u3002\u80de\u6838\u6bd4\u6b63\u5e38\u7684\u4e2d\u5c42\u7ec6\u80de\u6838\u589e\u5927\u4e86\u81f3\u5c11 3-4 \u500d\uff1b\u4f46\u662f\uff0c\u5982\u679c HPV \u53d8\u5316\u660e\u663e\uff0c\u5219\u7ec6\u80de\u53ef\u80fd\u8f83\u5c0f\uff08\u51e0\u4e4e\u89d2\u5316\u4e0d\u5168\uff09\uff0c\u5e76\u4e14\u7ec6\u80de\u6838\u4e5f\u53ef\u80fd\u8f83\u5c0f\uff1b\u5728\u6709\u4e9b\u60c5\u51b5\u4e0b\uff0c\u89d2\u5316\u662f\u4e0e\u53cc\u6838\u4ee5\u53ca\/\u6216\u591a\u6838\u4e00\u8d77\u51fa\u73b0\u7684\u3002\u6b64\u5916\uff0c\u8fd9\u4e9b\u89d2\u5316\u80de\u6838\u4e5f\u4f1a\u5448\u73b0\u51fa\u4e00\u4e9b\u5f02\u5e38\u7279\u5f81\uff08\u4f8b\u5982\uff1a\u67d3\u8272\u8d28\u6df1\u67d3\u3001\u7ec6\u80de\u5927\u5c0f\u6bd4\u6b63\u5e38\u8868\u5c42\u9cde\u72b6\u7ec6\u80de\u5927\uff0c\u5e76\u4e14\u5f62\u72b6\u548c\u5927\u5c0f\u7565\u6709\u5dee\u5f02\uff09\u3002\u5728\u8bca\u65ad LSIL\/HPV \u65f6\uff0c\u9700\u8981\u6709\u660e\u663e\u7684\u80de\u6d46\u7a7a\u8154\uff0c\u540c\u65f6\u8fd8\u9700\u8981\u7ed3\u5408\u4e0a\u8ff0\u5f02\u5e38\u80de\u6838\u7684\u5f62\u6001\u3002<\/p>\n<p>\u5728\u67d0\u4e9b SIL \u75c5\u4f8b\u4e2d\uff0cLSIL \u548c HSIL \u7ec6\u80de\u4f1a\u6df7\u5408\u51fa\u73b0\uff1b\u5728\u5bf9 ThinPrep \u6d82\u7247\u8fdb\u884c\u8bca\u65ad\u65f6\uff0c\u5e94\u8003\u8651\u6076\u6027\u7a0b\u5ea6\u6700\u9ad8\u7684\u5f02\u578b\u6027\u3002\u6709\u65f6\uff0c\u96be\u4ee5\u5c06 LSIL \u540c HSIL \u533a\u5206\u5f00\u6765\u3002\u503e\u5411\u4e8e HSIL \u7684\u7279\u5f81\u5305\u62ec\u6838\u6d46\u6bd4\u8f83\u9ad8\uff0c\u80de\u6d46\u4e0d\u6210\u719f\uff0c\u5e76\u4e14\u6838\u7684\u5f02\u578b\u6027\u8f83\u660e\u663e\u3002\u6709\u65f6\uff0c\u7531\u4e8e\u5f02\u5e38\u7ec6\u80de\u6570\u91cf\u8f83\u5c11\uff0c\u6216\u7f3a\u4e4f\u771f\u6b63\u7684\u4e2d\u95f4\u6807\u51c6\uff0c\u56e0\u6b64\u65e0\u6cd5\u5bf9\u6781\u5c11\u6570\u7684 SIL \u75c5\u4f8b\u8fdb\u884c\u5206\u7c7b\uff0c\u6b64\u7c7b\u75c5\u4f8b\u5f88\u6709\u53ef\u80fd\u4f1a\u6f14\u8fdb\uff0c\u56e0\u6b64\u4f7f\u7528\u201cSIL\uff0c\u65e0\u6cd5\u786e\u5b9a\u7b49\u7ea7\u201d\u8bca\u65ad\u672f\u8bed\u6216\u7c7b\u4f3c\u672f\u8bed\u4e0d\u5931\u4e3a\u6700\u4e3a\u8c28\u614e\u7684\u65b9\u6cd5\u3002\u867d\u7136\u5728\u5bf9 LSIL TP \u8fdb\u884c\u6d3b\u68c0\u8ddf\u8fdb\u7814\u7a76\u4e4b\u540e\uff0c\u901a\u5e38\u5c06\u663e\u793a\u4f4e\u5ea6\u6d3b\u68c0\u53d8\u5316\uff1b\u4f46\u5927\u7ea6\u6709 15-20% \u7684 LSIL \u75c5\u4f8b\u4f1a\u663e\u793a\u4e3a\u9ad8\u5ea6\u6d3b\u68c0\u53d8\u5316\u3002<\/p>\n<p>&nbsp;<\/p>\n<div class=\"highslide-gallery\"><strong>\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0035.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0035.jpg\" alt=\"Image 14\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>LSIL<\/strong><br \/>\n\u5728 ThinPrep \u73bb\u7247\u4e0a\uff0c\u4ecd\u7136\u53ef\u4ee5\u5f88\u5bb9\u6613\u5730\u5206\u8fa8\u51fa\u4e0e\u6709\u673a\u4f53\u4e00\u5e76\u51fa\u73b0\u7684 LSIL\uff08\u672c\u4f8b\u4e2d\u662f\u6885\u83cc\uff09\u3002 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>LSIL<\/strong><br \/>\n\u5728 ThinPrep \u73bb\u7247\u4e0a\uff0c\u4ecd\u7136\u53ef\u4ee5\u5f88\u5bb9\u6613\u5730\u5206\u8fa8\u51fa\u4e0e\u6709\u673a\u4f53\u4e00\u5e76\u51fa\u73b0\u7684 LSIL\uff08\u672c\u4f8b\u4e2d\u662f\u6885\u83cc\uff09\u3002 60X<\/div>\n<\/div>\n<div class=\"newRow\"><\/div>\n<p class=\"subhead\">\u76f8\u4f3c\u672c\u4f53\uff08\u5dee\u5f02\u5316\u8bca\u65ad\uff09\uff1a<\/p>\n<p>\u7531\u4e8e ThinPrep\u00ae: \u6d82\u7247\u68c0\u6d4b\u91c7\u7528\u4e86\u8f6c\u79fb\u56fa\u5b9a\u6cd5\uff0c\u4ece\u800c\u4f7f\u7ec6\u80de\u53ca\u5176\u7279\u5f81\u80fd\u591f\u66f4\u597d\u5730\u5448\u73b0\u51fa\u6765\uff0c\u5e76\u5728\u67d0\u79cd\u7a0b\u5ea6\u4e0a\u4f7f ISIL \u6613\u4e8e\u5206\u8fa8\uff1b\u4f46\u5c3d\u7ba1\u5982\u6b64\uff0cLSIL \u7684\u4e3b\u8981\u76f8\u4f3c\u672c\u4f53\u8fd8\u662f\u540c\u4ee5\u5f80\u4e00\u6837\u4e3a\u6570\u751a\u5c11\u3002\u5bf9\u4e8e LSIL \u4e0e ASCUS \u4e4b\u95f4\u7684\u5dee\u5f02\u6807\u51c6\u548c\u56fe\u7247\uff0c\u8bf7\u53c2\u9605\u6709\u5173 ASCUS \u7684\u7ae0\u8282\u3002<\/p>\n<table class=\"chart\">\n<tbody>\n<tr class=\"chart\">\n<td width=\"152\"><\/td>\n<td class=\"heading\" width=\"136\">\u53cd\u5e94\u6027\uff08\u6709\u673a\u4f53\u6216\u708e\u75c7\uff09<\/td>\n<td class=\"heading\" width=\"88\">\u4fee\u590d\uff08\u5178\u578b\u60c5\u51b5\uff09<\/td>\n<td class=\"heading\" width=\"88\">LSIL (HPV)<\/td>\n<\/tr>\n<tr>\n<td class=\"chart\">\u7ec6\u80de\u5916\u8c8c<\/td>\n<td class=\"chart\">\u5355\u4e2a\u7ec6\u80de\u6216\u7247\u72b6\u7ec6\u80de<\/td>\n<td class=\"chart\">\u5448\u6241\u5e73\u7247\u72b6\u6216\u7ec6\u80de\u56e2<\/td>\n<td class=\"chart\">\u5355\u4e2a\u7ec6\u80de\u6216\u7247\u72b6\u7ec6\u80de<\/td>\n<\/tr>\n<tr class=\"chart\">\n<td class=\"chart\">\u7ec6\u80de\u7c7b\u578b<\/td>\n<td class=\"chart\">\u5f71\u54cd\u6240\u6709\u7ec6\u80de\u7c7b\u578b<\/td>\n<td class=\"chart\">\u9888\u7ba1\u7ec6\u80de\/\u5316\u751f\u7ec6\u80de<\/td>\n<td class=\"chart\">\u6210\u719f\u7684\u9cde\u72b6\u7ec6\u80de<\/td>\n<\/tr>\n<tr>\n<td class=\"chart\">\u80de\u6838<\/td>\n<td class=\"chart\">\u589e\u5927\u81f3 1.5 \u500d<\/p>\n<hr \/>\n<p>\u53ef\u80fd\u4f1a\u51fa\u73b0\u53cc\u6838\/\u591a\u6838<\/p>\n<hr \/>\n<p>\u6838\u819c\u5e73\u6ed1<\/td>\n<td class=\"chart\">\u589e\u5927\u7a0b\u5ea6\u7684\u53d8\u5316 ?\u7531\u7ec6\u5fae\u81f3\u660e\u663e<\/p>\n<hr \/>\n<p>\u53ef\u80fd\u4f1a\u51fa\u73b0\u53cc\u6838\/\u591a\u6838<\/p>\n<hr \/>\n<p>\u6838\u819c\u5e73\u6ed1<\/td>\n<td class=\"chart\">\u589e\u5927 3-4 \u500d<\/p>\n<hr \/>\n<p>\u53cc\u6838\/\u591a\u6838\u53ef\u80fd\u4f1a\u4e0e HPV \u4e00\u5e76\u51fa\u73b0<\/p>\n<hr \/>\n<p>\u6838\u819c\u7531\u5e73\u6ed1\u81f3\u7565\u6709\u4e0d\u89c4\u5219<\/td>\n<\/tr>\n<tr class=\"chart\">\n<td class=\"chart\">\u67d3\u8272\u8d28<\/td>\n<td class=\"chart\">\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300<\/p>\n<hr \/>\n<p>\u6df1\u67d3\u4e0d\u660e\u663e<\/td>\n<td class=\"chart\">\u5448\u5e7c\u7c92\u72b6\uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300<\/p>\n<hr \/>\n<p>\u6df1\u67d3\u4e0d\u660e\u663e<\/td>\n<td class=\"chart\">\u7531\u5e7c\u7c92\u72b6\u81f3\u7c97\u7cd9\u7684\u7c92\u72b6 \uff0c\u5e76\u4e14\u5206\u5e03\u5747\u5300<\/p>\n<hr \/>\n<p>\u7565\u6709\u6df1\u67d3<\/td>\n<\/tr>\n<tr>\n<td class=\"chart\">\u6838\u4ec1<\/td>\n<td class=\"chart\">\u7ec6\u5c0f\u5e77\u5e38\u5e38\u51fa\u73b0\u591a\u6838\u4ec1\uff0c\u4e14\u89c4\u5219<\/td>\n<td class=\"chart\">\u7531\u7ec6\u5c0f\u81f3\u660e\u663e\uff0c\u5e76\u4e14\u5e38\u5e38\u51fa\u73b0\u591a\u6838\u4ec1<\/td>\n<td class=\"chart\">\u7531\u4e0d\u660e\u663e\u81f3\u7f3a\u5931<\/td>\n<\/tr>\n<tr class=\"chart\">\n<td class=\"chart\">\u80de\u6d46\u5916\u8c8c<\/td>\n<td class=\"chart\">\u901a\u5e38\u4f1a\u51fa\u73b0\u6838\u5468\u6655\uff0c\u5e76\u4e14\u7531\u4e8e\u9000\u53d8\uff0c\u53ef\u80fd\u4f1a\u51fa\u73b0\u591a\u4e2a\u7ec6\u5c0f\u7684\u7a7a\u6ce1\u3002<\/td>\n<td class=\"chart\">\u51fa\u73b0\u7a7a\u6ce1\u72b6\u7684\u80de\u6d46\uff0c\u5e76\u4e14\u7ec4\u7ec7\u7ed3\u6784\u5448\u677e\u6563\u72b6<\/td>\n<td class=\"chart\">\u5448\u5bc6\u5ea6\u8f83\u9ad8\u7684\u591a\u8fb9\u5f62\u72b6\uff0c\u5177\u6709\/\u6ca1\u6709\u6e05\u6670\u4e14\u6613\u4e8e\u5206\u8fa8\u7684 HPV \u7a7a\u8154\uff0c\u5e76\u4e14\u5468\u56f4\u8fd8\u6709\u5bc6\u5ea6\u8f83\u9ad8\u7684\u80de\u6d46<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<div class=\"highslide-gallery\"><strong>\u63d0\u793a\uff1a\u53ef\u70b9\u51fb\u4efb\u4f55\u56fe\u7247\u653e\u5927\u3002<\/strong><\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0036.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0036.jpg\" alt=\"Image 15\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\n\u53cd\u5e94\u6027 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\n\u53cd\u5e94\u6027 60X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0037.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0037.jpg\" alt=\"Image 16\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\n\u4fee\u590d 60x<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\n\u4fee\u590d 60x<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0038.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0038.jpg\" alt=\"Image 17\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\nLSIL\/HPV 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>\u76f8\u4f3c\u672c\u4f53<\/strong><br \/>\nLSIL\/HPV 60X<\/div>\n<\/div>\n<div class=\"newRow\"><\/div>\n<p><a name=\"readings\"><\/a><strong>\u5efa\u8bae\u9605\u8bfb\uff1a<\/strong><\/p>\n<ol class=\"normal\">\n<li>Austin RM: Follow-up of Abnormal Gynecologic Cytology. A College of American Patholgists Q-Probes Study of 16,312 Cases from 306 Laboratories. Arch Pathol Lab Med 2000;124(8):1113-4<\/li>\n<li>Carpenter AB, Davey D: ThinPrep Pap Test: performance and biopsy follow-up in a university hospital. Cancer 1999;41:39-44.<\/li>\n<li>DeMay RM: The Art and Science of Cytopathology. Chicago: ASCP Press; 1996<\/li>\n<li>Diaz-Rosario LA et al: Performance of a fluid-based, thin-layer Papanicolaou smear method in the clinical setting of an independent laboratory and an outpatient screening population in New England. Arch Pathol Lab Med 1999; Sep 123(9):817-21.<\/li>\n<li>Grace, A, et al: Comparative study: Conventional cervical and ThinPrep Pap Tests in a routine clinical setting. Cytopathol 2002;13:200-05.<\/li>\n<li>Guidos BJ, Selvaggi SM: Use of the ThinPrep Pap Test inclinical practice. 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