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宫颈脱落细胞学、阴道镜和HPV检测在宫颈病变筛查中的临床应用
引用本文:廖丹梅,宋策,张阳德,陈露,于丽,杨梅.宫颈脱落细胞学、阴道镜和HPV检测在宫颈病变筛查中的临床应用[J].中国现代医学杂志,2008,18(9):1242-1244.
作者姓名:廖丹梅  宋策  张阳德  陈露  于丽  杨梅
作者单位:1. 广西南宁市妇幼保健院,广西南宁,530011
2. 卫生部肝胆肠外科研究中心,湖南,长沙,410008
3. 广州军区陆军总医院,广东,广州,510010
摘    要:目的总结子宫颈脱落细胞学、阴道镜及HPV检测在宫颈病变诊断中的临床经验,对宫颈癌筛查提出合理化建议。方法对2003年1月-2006年12月在该院进行宫颈病变筛查的2500名已婚妇女,进行新柏氏液基薄层细胞学(TCT)检查、人乳头瘤病毒(HPV)检测和阴道镜检查。结果该文2500名进行宫颈癌筛查的妇女中,宫颈良性病变2165例,占86.6%,宫颈不典型增生和上皮内瘤样病变(CIN)共332例,占13.28%,宫颈癌3例,占0.12%;宫颈良性病变中HPV阳性641例,占29.60%,宫颈不典型增生和上皮内瘤样病变中HPV阳性66例,占19.88%,宫颈癌HPV阳性3例,占100%。结论积极谨慎对待宫颈炎性病变,TCT、HPV检测、阴道镜三项同时检查,该方案所筛查宫颈病变技术先进,漏诊率低。

关 键 词:宫颈病变  宫颈脱落细胞学  HPV检测  阴道镜  宫颈病  脱落细胞学  阴道镜检查  检测  宫颈癌筛查  临床应用  cytology  exfoliated  cervical  applications  Clinical  screening  lesions  test  漏诊率  方案  宫颈炎  慎对  阳性  瘤样
文章编号:1005-8982(2008)09-1242-03
修稿时间:2007年9月10日

Clinical applications of cervical exfoliated cytology,colposcopy and HPV test in cervical lesions screening
HAO Dan-mei,SONG Ce,ZHANG Yang-de,CHEN Lu,YU Li,YANG Mei.Clinical applications of cervical exfoliated cytology,colposcopy and HPV test in cervical lesions screening[J].China Journal of Modern Medicine,2008,18(9):1242-1244.
Authors:HAO Dan-mei  SONG Ce  ZHANG Yang-de  CHEN Lu  YU Li  YANG Mei
Institution:LIAO Dan-mei1,SONG Ce2,ZHANG Yang-de2,CHEN Lu3,YU Li2,YANG Mei1(1.Guangxi Nanning Maternity & Infant Health Care Center,Nanning,Guangxi 530011,2.Hepatobiliary & Enteric Surgery Research Center,Ministry of Health,Changsha,Hunan 410008,3.Guangzhou Army General Hospital,Guangzhou,Guangdong 510010)
Abstract:Objective It is to draw clinical experience of cervical exfoliated cytology,colposcopy and HPV test in cervical lesions and to propose reasonable suggestions for cervical cancer screening.Method ThinPrep Cytologic Test(TCT),human papillomavirus HPV test and colposcopy examination were carried out on 2500 married women during their cervical cancers screening in Guangxi Nanning Maternity & Infant Health Care Center from January,2003 to December,2006.Result Among the 2500 women conducting cervical cancers scre...
Keywords:cervical lesions  cervical exfoliated cytology  HPV test  colposcopy  
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