宫颈液基细胞学检查与高危型HPV检测早期筛查宫颈癌前病变的对比分析

目的:对比研究宫颈液基细胞学检查与高危型HPV检测早期筛查宫颈癌前病变。方法:选取2013年3月到2014年3月接受宫颈病理变化筛选检查的700例患者作为研究对象。采用高危型HPV检查和宫颈液基细胞检查进行早期宫颈癌前病变筛查。结果:在700例患者中，高危型HPV检查结果阳性有47例。其中HPV16型最多，占48.94%，其次是HPV18型，占21.28%。在宫颈液基细胞学检查中涂片异常病人有40例。其中LSIL占2.71%,HSIL占0.57%。高危HPV联合TCT方法，LSIL和HSIL分别是2.32%和0.54%；而TCT则是0.45%和0.19%。结论:高危型HPV检查能够提高宫颈癌前筛查的准确率，宫颈液基细胞检查联合高危HPV检查能够提高宫颈癌前病变筛查成功率。

Comparative study of liquid-based cervical cytology and high-risk HPV testing on ear-ly screening for cervical precancerous lesions

Objective:To study the effect of cervical cytology liquid-based and high-risk HPV screening for early detection of cervical lesions before. Methods:From March 2013 to March 2014 to select cervical screening 700 cases as subjects. Using high-risk HPV testing and liquid-based cervical cytology screening to test early cervical lesions. Results:In 700 cases with high-risk HPV-positive in 47 cases. HPV16 type was the most,accounting for 48. 94 percent,followed by HPV18,accounting for 21. 28%. Liquid-based cytology in cervical smear abnormalities in patients with 40 cases. LSIL accounted for 2. 71%,HSIL accounted for 0. 57%. TCT method combined high-risk HPV,LSIL and HSIL were 2. 32% and 0. 54%,and TCT was 0. 45% and 0. 19%. Conclusion:High-risk HPV tes-ting can improve the accuracy of cervical cancer screening,combined with liquid-based cervical cytology high-risk HPV testing can improve the success rate of screening for cervical precancerous lesions.