中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
6期
107-108
,共2页
宫颈细胞学%人乳头瘤病毒%单一高危亚型感染%多重高危亚型感染%宫颈病变
宮頸細胞學%人乳頭瘤病毒%單一高危亞型感染%多重高危亞型感染%宮頸病變
궁경세포학%인유두류병독%단일고위아형감염%다중고위아형감염%궁경병변
Cervical cytology%Human papilloma virus%A single high-risk subtype infection%Multiple high-risk subtype infection%Cervical lesions
目的：比较单纯宫颈细胞学检查与宫颈细胞学检查联合人乳头瘤病毒筛查检出宫颈高级别病变的优势，比较人乳头瘤病毒单一高危亚型感染与多重高危亚型感染致病风险。方法：2009年7月-2011年5月收治女性患者230例，对宫颈细胞学检查、人乳头瘤病毒检测及活检病理诊断结果进行分析。结果：活检病理诊断证实宫颈细胞学检查ASCUS以上病变合并HPV高危型感染宫颈高级别病变检出率43.1%。宫颈细胞学正常而单纯HPV高位型感染宫颈高级别病变检出率24.6%。宫颈细胞学检查ASCUS以上病变而同时HPV无感染或仅低危型感染宫颈高级别病变检出率19.0%。HPV单一高危亚型感染与≥2种多重高危亚型感染致病风险差异无统计学意义。结论：TCT联合HPV筛查宫颈病变优于单纯TCT筛查。HPV单一高危亚型感染与多重高危亚型感染致病风险相同。
目的：比較單純宮頸細胞學檢查與宮頸細胞學檢查聯閤人乳頭瘤病毒篩查檢齣宮頸高級彆病變的優勢，比較人乳頭瘤病毒單一高危亞型感染與多重高危亞型感染緻病風險。方法：2009年7月-2011年5月收治女性患者230例，對宮頸細胞學檢查、人乳頭瘤病毒檢測及活檢病理診斷結果進行分析。結果：活檢病理診斷證實宮頸細胞學檢查ASCUS以上病變閤併HPV高危型感染宮頸高級彆病變檢齣率43.1%。宮頸細胞學正常而單純HPV高位型感染宮頸高級彆病變檢齣率24.6%。宮頸細胞學檢查ASCUS以上病變而同時HPV無感染或僅低危型感染宮頸高級彆病變檢齣率19.0%。HPV單一高危亞型感染與≥2種多重高危亞型感染緻病風險差異無統計學意義。結論：TCT聯閤HPV篩查宮頸病變優于單純TCT篩查。HPV單一高危亞型感染與多重高危亞型感染緻病風險相同。
목적：비교단순궁경세포학검사여궁경세포학검사연합인유두류병독사사검출궁경고급별병변적우세，비교인유두류병독단일고위아형감염여다중고위아형감염치병풍험。방법：2009년7월-2011년5월수치녀성환자230례，대궁경세포학검사、인유두류병독검측급활검병리진단결과진행분석。결과：활검병리진단증실궁경세포학검사ASCUS이상병변합병HPV고위형감염궁경고급별병변검출솔43.1%。궁경세포학정상이단순HPV고위형감염궁경고급별병변검출솔24.6%。궁경세포학검사ASCUS이상병변이동시HPV무감염혹부저위형감염궁경고급별병변검출솔19.0%。HPV단일고위아형감염여≥2충다중고위아형감염치병풍험차이무통계학의의。결론：TCT연합HPV사사궁경병변우우단순TCT사사。HPV단일고위아형감염여다중고위아형감염치병풍험상동。
Objective:To compare the advantages of simple cervical cytology detection and cervical cytology combined human papilloma virus detection for screening high-level cervical pathological changes and compare the risks of treating diseases of single high-risk human papilloma virus subtype infection and multiple high-risk subtype infection.Method:The means of cervical cytology and HPV detection and biopsy pathologic diagnosis of 230 women from July 2009 to May 2011 were analyzed.Results:The pathology diagnosis confirmed that the high-level cervix lesion detection rate was 43.1% with above ASCUS lesions by cervical cytology and high risk type HPV infection.The high-level cervix lesion detection rate was 24.6% with normal cervical cytology and HPV type high infection.The high-level cervix lesion detection rate was 19.0% with above ASCUS lesions by cervical cytology and no infection or only low-risk HPV infection.There was no significant difference of risk for treatment between single high-risk HPV subtype infection and a minimum of 2 kinds of multiple high-risk subtype infection.Conclusion:TCT joint HPV screening cervical lesion was better than that of single TCT screening.The risk for treatment were the same between single high-risk HPV subtype infection and multiple high-risk subtype infection.
