FRD上皮组织特殊染色液在宫颈病变筛查中的应用

目的：探讨叶酸受体介导的宫颈特殊染色法(FRD)上皮组织特殊染色液在宫颈病变检查中的临床价值。方法选取2014年5月至2015年11月就诊于松岗人民医院妇产科门诊行宫颈病变筛查的受检者100例，均同时给予FRD宫颈特殊染色检测和液基细胞学(TCT)检测，两种检测中任何一项提示阳性则进一步行阴道镜宫颈活检，并将检测结果与病理结果进行比较。结果与病理诊断结果比较，FRD检测的敏感性、特异性、阳性预测率、阴性预测率、误诊率、漏诊率分别为80.72%、84.21%、75.00%、90.14%、26.88%、20.00%，TCT检测的结果则分别为83.12%、83.12%、73.47%、87.67%、25.79%、19.28%，两种检测方法所得数据比较差异均无统计学意义(P>0.05)。结论 FRD上皮组织特殊染色液检测和TCT检测在宫颈病筛查中的临床价值相当，但采用FRD上皮组织特殊染色液检测具有操作简单、诊断全面、成本低廉以及结果快速等优点，值得临床推广。

Application of FRD epithelial tissue special staining solution in screening of cervical lesions

Objective To explore the clinical value of the folate receptor-mediated tumor diagnosis (FRD) for the special staining of the epithelial tissue of the cervical. Methods One hundred patients with screening of cervical le-sions, who admitted to Department of Obstetrics and Gynecology of Songgang People's Hospital of Baoan District of Shenzhen from May 2014 to November 2015, were selected as research objects. FRD cervical special staining detection and liquid based cytology test (TCT) detection were performed at the same time. Colposcopy and cervical biopsy was carried out at any abnormality, and the detection results were compared with pathological results. Results Compared with the pathologic diagnosis, the sensitivity, specificity, positive predictive rate, negative predictive rate, the rate of mis-diagnosis and missed diagnosis rate were respectively 80.72%, 84.21%, 75.00%, 90.14%, 26.88%, 20.00% of FRD de-tection, and 83.12%, 83.12%, 73.47%, 87.67%, 25.79%, 19.28%for TCT. There was no significant difference between two detection methods in these aspects (P>0.05). Conclusion FRD epithelial tissue special staining solution and TCT in cervical disease screening have almost the same clinical significance. However, FRD epithelial tissue special staining solution detection has the advantages of simple operation, comprehensive diagnosis, low cost and fast results etc., which is worth for clinical promotion.