Objective To investigate the ThinPrep liquid based cytology,cervical smears for the diagnosis of cervical lesions,the accumulation of more clinical diagnosis experience.Methods The study of random sample of 2010 June-2012 year in June,my courtyard department of gynaecology and obstetrics patients receiving treatment data,a total of 120 cases with detailed features of cervical lesions in asymptomatic patients.In 120 cases the average divided into the observation group and the control group,60 cases in each group(n = 60);group were treated by thinprep cytologic test method,the control group using a cervical smear test method,according to the situation of the patient and the choice of different ways.By examining the number of identified comparative,judge 2 kinds of method is applied to the lesion examination diagnosis rate,and then determine which method of more diagnostic value.Results The observation group confirmed diagnosis rate was 98%,the control group diagnosed rate reached 91%,two groups of diagnosis rate compared to the difference was significant(P0.01).Conclusion The clinical diagnosis of cervical lesions should actively use of thinprep cytologic test method.

临床资料患者女，43岁。因左足第三趾甲下结节6个月入院。患者自诉前6个月，无明显诱因左足第三趾甲下出现一约绿豆大小结节，趾甲轻微上抬，无自觉症状，无外伤史，未予特殊处理。结节逐渐增大，趾甲上抬明显，触痛，修剪趾甲时易出血。曾被诊断为“化脓性肉芽肿”和“寻常疣”，给予抗生素及冷冻治疗无效。平素体健，无其它内科病史，常穿高跟鞋，家族无类似疾病史。体格检查：系统检查未见明显异常。皮肤科检查：左足第三趾末端甲下一约1 cm ×1 cm类圆形质硬结节，表面角化粗糙，趾甲上抬畸形，无明显压痛(图1)。

患者男性,61岁.因左腰、腹部疼痛1月余入院.入院前10余天,曾在外院行左输尿管体外碎石,近3天疼痛加剧,但能自行缓解;无肉眼血尿.查体:左肾区有叩击痛,左输尿管区无明显压痛.实验室检查:尿红细胞(+);血白细胞8.1×109/L,红细胞4.86×1012/L;PSA 1.4 ng/ml(正常值＜4.0 ng/ml).