中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
4期
5-7
,共3页
宫颈癌%液基薄层细胞学%人乳头瘤病毒%HPV
宮頸癌%液基薄層細胞學%人乳頭瘤病毒%HPV
궁경암%액기박층세포학%인유두류병독%HPV
Cervical Cancer%Thinprep Cytology%Human Papillomavirus%HPV
目的:探讨宫颈液基薄层细胞检测联合HPV检查在宫颈癌筛查中的应用价值。方法:应用宫颈液基薄层细胞检测和HPV检查以及两种方法的联用,对5586名妇女进行宫颈癌筛查,并与阴道镜活检的结果进行比对。结果:细胞学检查结果显示,ASCUS 411例(占7.36%),LSIL 105例(占1.88%),HSIL 67例(1.20%),SCC 10例(0.18%)。而单用HPV检查,发现阳性患者890例,且随着宫颈病变级别升高,高危型HPV感染率增加(P<0.05)。宫颈液基细胞学检查联用HPV检查与两种方法单独应用相比能明显提高检查的特异性和阳性预测值,并能降低假阳性率。与此同时,先进行HPV检查,后进行细胞学检查的方案,具有较高的特异性和阳性预测值,同时假阳性率和假阴性率较低,明显优于先进行细胞学检查,后进行HPV检查的方案。结论:先进行HPV检查,后进行细胞学检查的方案对宫颈癌的筛查准确性高,不失为一种先进的宫颈癌筛查方法。
目的:探討宮頸液基薄層細胞檢測聯閤HPV檢查在宮頸癌篩查中的應用價值。方法:應用宮頸液基薄層細胞檢測和HPV檢查以及兩種方法的聯用,對5586名婦女進行宮頸癌篩查,併與陰道鏡活檢的結果進行比對。結果:細胞學檢查結果顯示,ASCUS 411例(佔7.36%),LSIL 105例(佔1.88%),HSIL 67例(1.20%),SCC 10例(0.18%)。而單用HPV檢查,髮現暘性患者890例,且隨著宮頸病變級彆升高,高危型HPV感染率增加(P<0.05)。宮頸液基細胞學檢查聯用HPV檢查與兩種方法單獨應用相比能明顯提高檢查的特異性和暘性預測值,併能降低假暘性率。與此同時,先進行HPV檢查,後進行細胞學檢查的方案,具有較高的特異性和暘性預測值,同時假暘性率和假陰性率較低,明顯優于先進行細胞學檢查,後進行HPV檢查的方案。結論:先進行HPV檢查,後進行細胞學檢查的方案對宮頸癌的篩查準確性高,不失為一種先進的宮頸癌篩查方法。
목적:탐토궁경액기박층세포검측연합HPV검사재궁경암사사중적응용개치。방법:응용궁경액기박층세포검측화HPV검사이급량충방법적련용,대5586명부녀진행궁경암사사,병여음도경활검적결과진행비대。결과:세포학검사결과현시,ASCUS 411례(점7.36%),LSIL 105례(점1.88%),HSIL 67례(1.20%),SCC 10례(0.18%)。이단용HPV검사,발현양성환자890례,차수착궁경병변급별승고,고위형HPV감염솔증가(P<0.05)。궁경액기세포학검사련용HPV검사여량충방법단독응용상비능명현제고검사적특이성화양성예측치,병능강저가양성솔。여차동시,선진행HPV검사,후진행세포학검사적방안,구유교고적특이성화양성예측치,동시가양성솔화가음성솔교저,명현우우선진행세포학검사,후진행HPV검사적방안。결론:선진행HPV검사,후진행세포학검사적방안대궁경암적사사준학성고,불실위일충선진적궁경암사사방법。
Objectives:To investigate the value of thinprep cytology test combined with HPV test in cervical cancer screening.Method:5,586 women were screened for cervical cancer with the method of thinprep cytology test,HPV test and the combined 2 tests.The colposcopic biopsy results were compared.Results:There were 41 1 cases of ASCUS (7.36%),105 cases of LSIL (1.88%),67 cases of HSIL (1.20%)and 10 cases of SCC (0.18%).The results of the HPV test showed that there were 890 positive cases.Moreover,with the level of cer-vical lesions graded,high-risk HPV infection increased as well (P<0.05 ).Thinprep cytology test combined with HPV test could significantly improve the specificity and positive predictive check value,as well as reduce the false positive rate.In addition,HPV test followed by cytology test had high specificity and positive predictive value,with low false positive rate and false negative rate than the initial cytology test followed by HPV test.Conclusion:HPV test followed by cytology test has higher specificity for cervical cancer.