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新柏式薄层液基细胞学(TCT)联合HPV-DNA分型检测在宫颈癌筛查中的临床价值
引用本文:姜爱凤,王以新,杨敏京,冯 妍,边连朵.新柏式薄层液基细胞学(TCT)联合HPV-DNA分型检测在宫颈癌筛查中的临床价值[J].现代肿瘤医学,2015,0(20):3015-3017.
作者姓名:姜爱凤  王以新  杨敏京  冯 妍  边连朵
作者单位:首都医科大学附属北京安贞医院大屯社区卫生服务中心,北京 100029
基金项目:北京市科技局重点立项课题(编号:20140592)
摘    要:目的:探讨新柏式薄层液基细胞学(TCT)联合HPV-DNA分型检测在宫颈癌筛查中的临床价值。方法:随机选取2011年4月-2014年4月于我院进行宫颈癌筛查的420例患者为研究对象。所有患者均进行TCT及HPV-DNA筛查,并同时进行宫颈组织活检进行最终确认。结果:TCT筛查结果显示:ASCUS(意义不明的不典型鳞状细胞)患者为175例,阳性比例为41.7%。病理组织筛查结果显示:CINⅠ为199例,阳性比例为47.4%。HPV-DNA共检出阳性患者180例,比例42.9%。临床症状越严重,HPV-DNA阳性率越高。TCT联合HPV-DNA筛查结果灵敏度较单独TCT和HPV-DNA筛查结果高,但特异性低,其阳性预测值和阴性预测值都较高,与病理结果筛查结果更为相似。结论:新柏式薄层液基细胞学(TCT)联合HPV-DNA分型检测在宫颈癌筛查中灵敏度高和准确性较高。

关 键 词:TCT  HPV-DNA分型  宫颈癌筛查  临床价值

The clinical value of new Parker style TCT combined HPV -DNA genotyping in cervical cancer screening
Jiang Aifeng,Wang Yixin,Yang Minjing,Feng Yan,Bian Lianduo.The clinical value of new Parker style TCT combined HPV -DNA genotyping in cervical cancer screening[J].Journal of Modern Oncology,2015,0(20):3015-3017.
Authors:Jiang Aifeng  Wang Yixin  Yang Minjing  Feng Yan  Bian Lianduo
Affiliation:Capital Medical University Affiliated An Zhen Hospital of Beijing Datun Community Health Service Center,Beijing 100029,China.
Abstract:Objective:To explore the clinical value of new type of TCT Parker combined with HPV-DNA typing in detecting cervical cancer screening.Methods:Randomly selected 420 cases of cervical cancer screening patients,all patients underwent TCT and HPV-DNA screening,while cervical biopsy for final confirmation.Results:CT screening showed number of patients with ASCUS 175 cases,the positive ratio 41.7%.Pathology screening showed ≥CINⅠ 199 cases,the positive ratio 47.4%.HPV-DNA positive patients,180 cases were detected,the proportion of 42.9%.The more severe the illness was,the higher the positive rate of HPV-DNA was.Conclusion:The new Parker style TCT combined HPV-DNA genotyping in cervical cancer screening is with high sensitivity and high accuracy.
Keywords:TCT  HPV-DNA typing  cervical cancer screening  clinical value
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