摘要
目的分析东莞市塘厦镇免费宫颈癌筛查结果,探讨宫颈癌普查的临床价值。方法对塘厦镇2012年10月至2013年9月共5 368例35~59岁妇女采用妇科常规、液基细胞学检查（TCT）和HPV-DNA检测,对TCT和（或）高危型HPV阳性患者行阴道镜检查及必要的宫颈组织活检,比较各检查方法的阳性率。结果人群筛查中HPV阳性率（7.94%）高于TCT阳性率（1.27%）;但组织活检阳性率TCT（67.65%）高于HPV（35.21%）,差异均有统计学意义（P〈0.05）;TCT及HPV均阳性患者组织活检阳性率83.72%。结论 TCT联合HPV-DNA检测能够明显提高CIN的敏感性及准确性,对CIN早期发现及治疗具有重要的临床意义。
Objectlve To analyze cervical cancer screening results of Tangxia town of Dongguan city and investigate the clinical value of cervical cancer screening. Methods The routine gynecological,liquid-based cytology and HPV-DNA detection for 5 368 cases of 35-59 years old women in Tangxia town of 2012.10-2013.09. Colposcopy and cervical biopsy were performed for the TCT and （or） high-risk HPV positive patients. Results The positive rate of HPV （7.94%） was higher than the positive rate of TCT （1.27%）;positive rates of TCT and HPV of biopsy tissue were both 83.72% patients. TCT positively rate was 67.65% and HIV positive rate was 35.21%, with significant difference（P〈0.05）. Conclusion TCT combined with HPV test can significantly improve the sensitivity and accuracy of cervical cancer early detection and hence prompt treatment.
出处
《热带医学杂志》
CAS
2014年第7期906-908,共3页
Journal of Tropical Medicine
关键词
宫颈癌筛查
液基细胞学检查
人乳头瘤病毒检测
cervical cancer screening
liquid-based cytology
human papilloma virus testing
