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四种宫颈病变筛查方法的临床应用评价
引用本文:姜敏,于民,胡新梅. 四种宫颈病变筛查方法的临床应用评价[J]. 中华全科医师杂志, 2012, 11(5): 379-380
作者姓名:姜敏  于民  胡新梅
作者单位:834000,新疆维吾尔自治区克拉玛依市中心医院病理科
基金项目:新疆克拉玛依市2010年市级科研立项
摘    要:
对2009年9月至2010年12月本院妇科门诊就诊545例患者,以病理学结果作为金标准,评价高危人乳头状瘤病毒(HR—HPV)检测、液基细胞学检查(LCT)检查、LCT联合HPV序列检测、LCT联合HPV平行检测4种筛查方案在宫颈癌筛查中的临床价值。结果显示平行检测针对同一组研究人群筛查宫颈上皮内瘤变(CIN)Ⅱ级以上病变检出率达到99.17%,正确指数为0.81,显著高于其他筛查方案。

关 键 词:宫颈肿瘤  筛查

Evaluation of four approaches in screening of cervical lesions
JIANG Min , YU Min , HU Xin-mei. Evaluation of four approaches in screening of cervical lesions[J]. Chinese JOurnal of General Practitioners, 2012, 11(5): 379-380
Authors:JIANG Min    YU Min    HU Xin-mei
Affiliation:.( Department of Pathology, Kelamayi Central Hospital of Xinjiang Uygur Autonomous Region, 834000, China)
Abstract:
Exfoliative cell samples were collected from 545 patients in outpatient clinic of Kelamayi Centre Hospital from Sep 2009 to Dec 2010. Liquid-based cytology test ( LCT ) and high-risk human papillomavirus (HR-HPV) test were performed in exfoliative cells; and colposcopic biopsy was undertaken in all patients. With the pathological results as gold standard the diagnostic values of HR-HPV test, LCT test, HPV-LCT serial test and HPV-LCT parallel test were evaluated for cervical cancer screening. The sensitivity of HPV-LCT parallel test was 99. 17% with a Youden's index of 0. 81. Our results indicate that HPV-LCT parallel test can improve significantly the detection rate of cervical cancer screening.
Keywords:Cervical neoplasm  Screening
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