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目的:研究FRD特殊染色技术(FRD)在宫颈疾病筛查中的结果情况,为临床诊疗提供依据。方法:选取2015年5月到2016年5月我院就诊宫颈疾病筛查者306例,对所有患者进行FRD和液基细胞学检测,两种检测有一项提示阳性则行阴道镜病理检测,以病理检测为标准,比较两种检测方法诊断价值。结果:宫颈癌前病变和宫颈癌筛查中两种检测方法敏感度分别为87.6%、84.0%,特异性分别为69.0%、63.3%,诊断符合率分别为79.7%、75.8%,阳性预测值分别为79.2%和78.4%,阴性预测值分别为81.7%和71.4%,Kappa值为0.56和0.48,比较差异无统计学意义(P>0.05)。结论:FRD与液基细胞学检测筛查宫颈癌前病变和宫颈癌效果相似,但是FRD操作简便,值得在临床上应用。
Objective: To study the results of FRD special screening technique in cervical disease screening and provide the basis for clinical diagnosis and treatment. Methods: From May 2015 to May 2016, 306 cases of cervical disease screening in our hospital were examined. FRD and liquid-based cytology were performed on all patients. One of the two tests was positive and colposcopy pathological examination was performed. Pathological testing as a standard, comparing the diagnostic value of two detection methods. Results: The sensitivity of the two detection methods in cervical precancerous lesions and cervical cancer screening were 87.6%, 84.0%, respectively, the specificity was 69.0%, 63.3%, the diagnostic coincidence rates were 79.7%, 75.8% respectively, the positive predictive value 79.2% and 78.4%, respectively. The negative predictive values were 81.7% and 71.4%, respectively. The Kappa values were 0.56 and 0.48, respectively. There was no significant difference between the two groups (P> 0.05). Conclusion: FRD and liquid-based cytological detection of cervical precancerous lesions and cervical cancer similar effect, but the FRD easy to operate, it is worth the clinical application.