摘要
目的:探讨通过筛查人高危型乳头瘤病毒(HR-HPV)结合液基薄层细胞学(TCT)检查在诊断宫颈癌及癌前病变中的价值。方法选取经病理学检查的1198例宫颈标本进行研究,对患者的 HR-HPV 检测结果、TCT 检测结果进行分析,以病理学结果为金标准,探讨 HR-HPV、TCT 检测单独应用及两者联合应用在诊断宫颈癌、癌前病变中的价值。结果随着病理学检查分级的升高,TCT 检查阳性率逐渐增高,两者有相关性(r =0.629,P <0.05);随着病理学检查分级的升高,HR-HPV 检查阳性率逐渐增高,两者有相关性(r =0.684,P <0.05)。HR-HPV 结合 TCT 鉴别诊断宫颈癌、癌前病变的灵敏度100.00%、特异度79.64%、漏诊率0.00%、误诊率20.36%。结论HR-HPV 结合 TCT 检查在诊断宫颈癌及癌前病变中具有较高的临床实用价值。
Objective To explore the diagnostic value of HR -HPV combined with TCT in the diagnosis of cervical cancer and precancerous lesion.Methods 1 198 cervical specimens were selected for the study.The results of HR -HPV detection and TCT detection were analyzed,with the pathological results as the gold standard,the diag-nostic value of HR -HPV and TCT in the diagnosis of cervical cancer and precancerous lesion were discussed. Results With increasing pathological grade,TCT positive rate increased gradually,there was a correlation between them(r =0.629,P 〈0.05).With increasing pathological grade,HR -HPV positive rate increased gradually,there was a correlation between them(r =0.684,P 〈0.05).The sensitivity of HR -HPV combined with TCT in the differ-ential diagnosis of cervical cancer,precancerous lesions was 100.00%,specificity was 79.64%,missed diagnosis rate was 0.00%,the misdiagnosis rate was 20.36%.Conclusion HR -HPV combined with TCT examination has high clinical value in the diagnosis of cervical cancer and precancerous lesions.
出处
《中国基层医药》
CAS
2017年第4期589-592,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
人乳头瘤病毒
液基薄层细胞学
宫颈肿瘤
癌前状态
多相筛查
Human papillomavirus
Thinprep cytology test
Uterine cervical neoplasms
Precancerous conditions
Multiphasic screening