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目的:探讨宫颈癌筛查系统及液基细胞学检测在宫颈病变筛查中的应用效果。方法:本研究选取了2012年4月至2014年4月在我院进行宫颈病变筛查的960例患者作为研究对象,对患者分别进行宫颈癌筛查系统检查、液基细胞学检测及阴道镜下病理学检查,观察宫颈癌筛查系统及液基细胞学检测对宫颈病变的筛查效果。结果:宫颈癌筛查系统的敏感度为77.3%(119/154),特异度为79.4%(640/806),假阴性率为22.7%(35/154),假阳性率为20.6%(166/806)。液基细胞学检查的敏感度为61.0%(94/154),特异度为82.5%(665/806),假阴性率为39.0%(60/154),假阳性率为17.4%(141/806)。与液基细胞学检查相比,宫颈癌筛查系统的敏感度明显提高,假阴性率明显降低(p<0.05)。两组的特异度及假阳性率无明显差异(p>0.05)。结论:宫颈癌筛查系统应用于宫颈病变筛查具有良好效果,值得推荐。
Objective: To investigate the application of cervical cancer screening system and liquid-based cytology in the screening of cervical lesions. Methods: This study selected 960 patients with cervical lesions screening in our hospital from April 2012 to April 2014 as the research object. The patients were examined by cervical cancer screening system, liquid-based cytology and colposcopy Under the pathological examination, observe the cervical cancer screening system and liquid-based cytology detection of cervical lesions screening effect. Results: The sensitivity of cervical cancer screening system was 77.3% (119/154), the specificity was 79.4% (640/806), the false negative rate was 22.7% (35/154) and the false positive rate was 20.6% (166 / 806). The sensitivity of liquid-based cytology was 61.0% (94/154), the specificity was 82.5% (665/806), the false negative rate was 39.0% (60/154) and the false positive rate was 17.4% (141/806 ). Compared with liquid-based cytology, cervical cancer screening system significantly increased the sensitivity, false negative rate was significantly reduced (p <0.05). There was no significant difference between the two groups in specificity and false positive rate (p> 0.05). Conclusion: Cervical cancer screening system used in cervical lesions screening has good effect, it is recommended.