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目的:探讨薄层液基细胞学(ThinPrep cytology test,TCT)检测联合高危型人乳头瘤病毒(高危型HPV)病因学检测在宫颈病变中诊断的临床意义,以及高危型HPV负荷量与宫颈病变程度的相关性。方法:对该院妇科3 128例患者行宫颈TCT联合高危型HPV检测,比较不同级别TCT结果高危型HPV感染情况;高危型HPV感染病毒负荷量,即RLU/CO的相对数值,将RLU/CO数值由低至高行数量进行分级,观察分析TCT结果异常情况。结果:①TCT结果异常为185例,检出率为5.91%,HR-HPV高危阳性患者共962例,阳性检出率为30.75%,TCT结果为NILM、ASC、LSIL、HSIL中,HPV阳性率分别为27.86%、54.35%、79.57%、92.86%;②将HPV负荷量由低至高行数量分级后,TCT异常率分别为1.99%、7.43%、11.79%、15.77%和33.88%。结论:HR-HPV在宫颈筛查中敏感性较TCT高,TCT异常者中,宫颈病变程度与高危型HPV感染率呈正相关;且随着高危型HPV负荷量增高,宫颈病变程度加重。
Objective: To investigate the clinical significance of ThinPrep cytology test (TCT) combined with etiological detection of high-risk human papillomavirus (HPV) in diagnosis of cervical lesions, and to investigate the relationship between high-risk HPV load and cervical lesions Degree of relevance. Methods: Three hundred and eighty-eight patients with gynecological cervix were treated with TCT combined with high-risk HPV testing, and the high-risk HPV infection by different levels of TCT was compared. The relative risk of high-risk HPV infection, RLU / CO, Value from low to high number of rows were graded, observe the abnormal TCT results. RESULTS: ① The abnormal TCT results were 185 cases and the detection rate was 5.91%. A total of 962 HR-HPV positive cases were positive, the positive detection rate was 30.75%. The positive rates of TCT were NILM, ASC, LSIL and HSIL (27.86%, 54.35%, 79.57% and 92.86% respectively); ② The TCT abnormalities were 1.99%, 7.43%, 11.79%, 15.77% and 33.88% respectively after grading the HPV load from low to high rows. Conclusion: The sensitivity of HR-HPV in cervical screening is higher than that in TCT. Among the TCT abnormalities, the cervical lesions have a positive correlation with the high-risk HPV infection rate. With the increase of high-risk HPV load, the cervical lesions become more serious.