Clinical Analysis of Liquid-based Cervical Cytology Examination in Cervical Cancer Screening in the South of GuiZhou

［Abstract］Objectives　To enhance the diagnosis of cervical epithelial neoplasia and cervical cancer at the early stage and to prevent cervical invasive carcinoma by analyzing the cervical/vaginal cytology or histopathologic results of Atypical squamous cells of undetermined significance（ASCUS）. Methods From January 2014 to June 2015， a total of 4579 cases were selected in the census of gynecological diseases in Qiannan Hospital. TBS classification （the bethesda system） showed that 164 cases of ASCUS or above were found using cervical/vaginal cytology with live tissue under colposcopy．Results　Among 164 cases， 75 was cervical intraepithelial neoplasia level 3 （CINIII） accounting for 54.7%. Sixty-three cases of ASCUS and 16 of CINII or above were found among patients at the age of 39 or younger （25.4%）. A hundred and one cases of ASCUS and 59 of CINII or above were found among women older than 40 （58.41%）. Among patients with liquid-based cervical cytology positive， those older than 40 had higher risk. Liquid-based cervical cytology examination was divided into 5 levels. Spearman rank correlation analysis was applied with correlation coefficient （r = 1） and positive correlation was shown （P = 0.000， P＜0.01）. The difference was statistically significant. The higher level of liquid-based cervical cytology examination level was required， the higher risk of cervical cancer was seen among women. Conclusion　The use of liquid-based cervical cytology examination can help grassroots doctors improve CIN diagnosis rate and prevent cervical invasive carcinoma among women in the countryside.