As English and Chinese belong to different language families,the left and right branching structures in the two languages are both similar and different.Generally speaking,Chinese has a predominance of left-branching ...As English and Chinese belong to different language families,the left and right branching structures in the two languages are both similar and different.Generally speaking,Chinese has a predominance of left-branching structures and English has a predominance of right-branching structures.That is to say,Chinese is used to using left branches in its expressions,while English is used to using right branches in its expressions.展开更多
目的探讨宫颈液基细胞学(thinprep cytologic test,TCT)与阴道镜检查在高危型HPV阳性(high⁃risk human papillomavirus,HR⁃HPV)女性人群中诊断宫颈高级别及以上病变(high grade squamous intraepithelia lesion and above,HSIL+)的临床...目的探讨宫颈液基细胞学(thinprep cytologic test,TCT)与阴道镜检查在高危型HPV阳性(high⁃risk human papillomavirus,HR⁃HPV)女性人群中诊断宫颈高级别及以上病变(high grade squamous intraepithelia lesion and above,HSIL+)的临床应用价值。方法收集克拉玛依市中心医院2018年1月至2021年11月的宫颈HR⁃HPV阳性病例2445例,回顾性分析TCT诊断、阴道镜诊断与组织病理学诊断的相符情况,比较TCT、阴道镜及阴道镜结合TCT诊断HSIL+的情况。结果TCT诊断与组织学诊断符合率为84.25%,一致性检验Kappa值为0.565。阴道镜诊断与组织学诊断符合率为88.30%,一致性检验Kappa值为0.69。TCT诊断HSIL+的灵敏度是60.69%,特异度是92.53%;阴道镜诊断HSIL+的灵敏度是74.52%,特异度是93.15%;阴道镜结合TCT结果诊断HSIL+的灵敏度是79.09%,特异度是86.07%。细胞学诊断HSIL+的受试者工作特征曲线下面积(Area Under Curve,AUC)为0.766,阴道镜诊断HSIL+的AUC为0.838,阴道镜结合TCT诊断HSIL+的AUC为0.826。结论在宫颈HR⁃HPV阳性女性中,阴道镜诊断宫颈HSIL+的临床价值较高,阴道镜结合TCT可以提高诊断HSIL+的灵敏度,减少HSIL+的漏诊率。展开更多
基金sponsored by the teaching program“English Grammar” (No.209/1541801009).
文摘As English and Chinese belong to different language families,the left and right branching structures in the two languages are both similar and different.Generally speaking,Chinese has a predominance of left-branching structures and English has a predominance of right-branching structures.That is to say,Chinese is used to using left branches in its expressions,while English is used to using right branches in its expressions.
文摘目的探讨宫颈液基细胞学(thinprep cytologic test,TCT)与阴道镜检查在高危型HPV阳性(high⁃risk human papillomavirus,HR⁃HPV)女性人群中诊断宫颈高级别及以上病变(high grade squamous intraepithelia lesion and above,HSIL+)的临床应用价值。方法收集克拉玛依市中心医院2018年1月至2021年11月的宫颈HR⁃HPV阳性病例2445例,回顾性分析TCT诊断、阴道镜诊断与组织病理学诊断的相符情况,比较TCT、阴道镜及阴道镜结合TCT诊断HSIL+的情况。结果TCT诊断与组织学诊断符合率为84.25%,一致性检验Kappa值为0.565。阴道镜诊断与组织学诊断符合率为88.30%,一致性检验Kappa值为0.69。TCT诊断HSIL+的灵敏度是60.69%,特异度是92.53%;阴道镜诊断HSIL+的灵敏度是74.52%,特异度是93.15%;阴道镜结合TCT结果诊断HSIL+的灵敏度是79.09%,特异度是86.07%。细胞学诊断HSIL+的受试者工作特征曲线下面积(Area Under Curve,AUC)为0.766,阴道镜诊断HSIL+的AUC为0.838,阴道镜结合TCT诊断HSIL+的AUC为0.826。结论在宫颈HR⁃HPV阳性女性中,阴道镜诊断宫颈HSIL+的临床价值较高,阴道镜结合TCT可以提高诊断HSIL+的灵敏度,减少HSIL+的漏诊率。