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ASC-US患者HPV-DNA分型检测的临床意义
引用本文:李曼,姚军,钟萍,朱春江,曾思恩. ASC-US患者HPV-DNA分型检测的临床意义[J]. 中国妇幼保健, 2011, 26(11): 1691-1694
作者姓名:李曼  姚军  钟萍  朱春江  曾思恩
作者单位:1. 桂林医学院附属医院妇产科,广西,桂林,541001
2. 桂林医学院附属医院围产实验室
3. 桂林医学院附属医院病理实验中心
基金项目:广西壮族自治区自然科学基金资助项目
摘    要:目的:探讨ASC-US患者HPV-DNA分型检测的临床意义。方法:对2008年1月~2010年1月在桂林医学院附属医院妇产科同时行宫颈细胞学筛查以及HPV-DNA分型检测其中宫颈细胞学结果判读为ASC-US的138例患者的相关资料进行分析。结果:138例ASC-US患者中HPV-DNA分型检测高危亚型阳性者61例,占44.20%,其中HPV-DNA16或(和)58亚型阳性者46例,占总数的33.33%,占高危阳性的75.41%。HPV-DNA高危亚型阳性对CINⅡ及以上病变检出的敏感度为91.67%,特异度为60.32%,对CINⅡ及以上者的阴性预测值为98.70%。HPV-DNA16/58亚型阳性对CINⅡ及以上病变检出的敏感度为58.33%,特异度为69.05%。结论:HPV-DNA分型检测在ASC-US患者分层处理中有意义,对HPV-DNA分型检测高危阳性患者需行阴道镜检查,其余可用宫颈细胞学随诊。

关 键 词:ASC-US  人乳头状瘤病毒  宫颈上皮内瘤样病变

Clinical significance of HPV-DNA genotype detection in patients with ASC-US
LI Man,YAO Jun,ZHONG Ping et al. Clinical significance of HPV-DNA genotype detection in patients with ASC-US[J]. Maternal and Child Health Care of China, 2011, 26(11): 1691-1694
Authors:LI Man  YAO Jun  ZHONG Ping et al
Affiliation:LI Man,YAO Jun,ZHONG Ping et al.Department of Gynecology and Obstetrics,Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China
Abstract:Objective:To explore the clinical significance of HPV-DNA genotype detection in patients with atypical squamous cells of undetermined significance(ASC-US). Methods:From January 2008 and January 2010,138 cases received cervical cytological screening and HPV-DNA genotype detection in the hospital,and their cervical cytological result was ASC-US,the related data of 138 cases were analyzed. Results:Among 138 cases with ASC-US,61 cases were found with positive high risk subtype of HPV-DNA,accounting for 44.20%,4...
Keywords:Atypical squamous cells of undetermined significance  Human papillomavirus  Cervical intraepithelial neoplasm  
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