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目的:对比分析液基薄层细胞学检查(TCT)联合HPV检测和巴氏涂片检查联合HPV检测筛查早期宫颈癌和癌前病变的效果。方法:选择妇科体检的1 012例女性随机分成两组:TCT组500例实施液基薄层联合HPV检测;巴氏涂片检查组512例进行巴氏涂片检查联合HPV检测,比较两种方法对于宫颈异常的检出率,两种方法都以病理检查为标准。结果:TCT组特异性为79.22%、敏感性为92.87%、假阴性率为0.20%;巴氏涂片组特异性为98.24%、敏感性为56.24%、假阴性率为1.97%,两组比较差异有统计学意义(P<0.05)。阳性检出率TCT组为3.40%,巴氏涂片组为2.73%,两组比较差异无统计学意义(P>0.05)。结论:在宫颈癌和癌前病变诊断中,TCT检查联合HPV检测优于巴氏涂片检查联合HPV检测,其筛查的假阴性率较低,敏感性较高,可以作为一种先进的筛查方法。
OBJECTIVE: To compare the effects of TCT combined with Pap test and Pap test in early screening of cervical cancer and precancerous lesions. Methods: A total of 1 012 women who underwent gynecological examinations were randomly divided into two groups: 500 cases in TCT group were combined with liquid-based thin layer and HPV test; 512 cases in Pap smear group were Pap smear combined with HPV test; For the detection rate of cervical abnormalities, both methods are pathological examination as the standard. Results: The specificity of TCT group was 79.22%, the sensitivity was 92.87%, the false negative rate was 0.20%, the specificity of Pap smear group was 98.24%, the sensitivity was 56.24%, the false negative rate was 1.97% The difference was statistically significant (P <0.05). The positive detection rate was 3.40% in TCT group and 2.73% in Pap smear group, there was no significant difference between the two groups (P> 0.05). Conclusion: In the diagnosis of cervical cancer and precancerous lesions, TCT combined with HPV test is superior to Pap smear combined with HPV test, the screening of false negative rate is low, high sensitivity, can be used as an advanced sieve Check method.