CAJ | 학술논문

目的：探究薄层细胞学检测法和传统巴氏涂片法在宫颈癌筛查中的应用效果对比。方法选取2012年4月到2014年4月接受检查的800例患者作为研究对象。实验组患者采用液基薄层细胞学检测法进行筛查，对照组患者采用传统巴氏涂片法进行筛查。将2种方法的检查结果与病理结果相对比，分析2种方法的准确率以及各项指标的差别，并进行统计学分析。结果实验组检测出有114例患者为阳性，符合率为96．61％。对照组检测出有75例患者为阳性，符合率为63．56％。实验组检测出ASC患者48例，LSIL患者36例，HSIL患者18例，SCC患者10例；对照组患者检测出ASC患者30例，LSIL患者25例，HSIL患者14例，SCC患者6例。实验组检测敏感性和阴性预测值，经比较，均与对照组具有统计学差异（P＜0．05）。结论液基薄层细胞学检测法比传统巴氏涂片法在宫颈癌筛查中的应用效果更好，准确率更高。
목적：탐구박층세포학검측법화전통파씨도편법재궁경암사사중적응용효과대비。방법선취2012년4월도2014년4월접수검사적800례환자작위연구대상。실험조환자채용액기박층세포학검측법진행사사，대조조환자채용전통파씨도편법진행사사。장2충방법적검사결과여병리결과상대비，분석2충방법적준학솔이급각항지표적차별，병진행통계학분석。결과실험조검측출유114례환자위양성，부합솔위96．61％。대조조검측출유75례환자위양성，부합솔위63．56％。실험조검측출ASC환자48례，LSIL환자36례，HSIL환자18례，SCC환자10례；대조조환자검측출ASC환자30례，LSIL환자25례，HSIL환자14례，SCC환자6례。실험조검측민감성화음성예측치，경비교，균여대조조구유통계학차이（P＜0．05）。결론액기박층세포학검측법비전통파씨도편법재궁경암사사중적응용효과경호，준학솔경고。
Objective To explore the efficacy of thin-layer cytology test and traditional pap smear method in cervical cancer screening .Methods 800 patients were selected as the research object .The experimental group were treated by liquid thin-layer cytology screening test , and the control group were treated by traditional pap smear screening , the accuracy of the 2 methods were compared ,the pathological results and the difference of each index were recorded for statistical analysis .Results 114 patients of the experimental group were detected positive ,coincidence rate was 96.61%.75 patients of the control group were detected positive,coincidence rate was 63.56%.The experimental group detected 48 patients with ASC,36 patients with LSIL,18 patients with HSIL,10 patients with SCC;the control group detected 30 patients with ASC,25 patients with LSIL,14 patients with HSIL,6 patients with SCC .Sensitivity and negative predictive value of the 2 groups had statistically significant difference ( P<0.05).Conclusion Liquid thin-layer cytology test in the application of cervical cancer screening is more effective and has high -er accuracy than conventional pap smear method .