CAJ | 학술논문

目的：评价 TCT检测方法对宫颈疾病的诊断价值。方法2007年5月～2008年1月武汉大学人民医院妇产科门诊共有445例接受 TCT 检查，细胞学异常者进一步接受阴道镜及镜下组织活检检查，以活检病理结果为诊断标准，比较 TCT 检查与病理结果的统计学参数。结果 TCT 检查的阳性病例96例，与病理组织学比较，诊断 LSIL 以上宫颈病变灵敏度91.23％，特异度79.49％，阳性预测值86.67％，阴性预测值86.11％，符合率86.45％，Kappa值0.72。结论 TCT 是宫颈癌筛查的重要手段，其临床应用价值高。
목적：평개 TCT검측방법대궁경질병적진단개치。방법2007년5월～2008년1월무한대학인민의원부산과문진공유445례접수 TCT 검사，세포학이상자진일보접수음도경급경하조직활검검사，이활검병리결과위진단표준，비교 TCT 검사여병리결과적통계학삼수。결과 TCT 검사적양성병례96례，여병리조직학비교，진단 LSIL 이상궁경병변령민도91.23％，특이도79.49％，양성예측치86.67％，음성예측치86.11％，부합솔86.45％，Kappa치0.72。결론 TCT 시궁경암사사적중요수단，기림상응용개치고。
Objective To investigate the diagnostic value of TCT in screening cerbvical diseases .Methods From May 2007 to Jan . 2008 ,445 cases with cervical diseases in Renmin hospital of Wuhan University were involved by TCT .Those who had positive TCT result then received colposcope and biopsy under colposcope .The pathologic diagnosis of biopsy was considered as gold diagnostic criteria .Results There were 96 cases with positive TCT results .Comparing with histopathologic diagnosis of cervical disease above LSIL ,The sensitivity and specificity of TCT were 91.23% and 79.49% ,respectively ,while its positive or negative predictive value were 86.67% and 86.11% , respectively ,including 80% coincidence rate and 0.72 Kappa value .Conclusion TCT plays a vital role in screening cervical disease ,with its high application of clinic value .