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目的研究宫颈刮片、阴道镜及HPV检测在宫颈癌筛查过程中的主要作用。方法对宫颈刮片、阴道镜和HPV同时进行检测,病理组织学检查出现异常情况的患者,以病理组织学检测最终结果为金标准。针对100例检测结果为阳性的患者,进行比较三种方式的检出敏感程度。结果 100例患者中,30例宫颈刮片阳性患者,敏感程度是61.23%;33例阴道镜阳性患者,敏感程度是78.93%;37例HPV感染阳性患者,感染程度为83.13%,这三种方式的敏感程度差异具有统计学意义(P<0.05)。结论宫颈癌筛查和早期的诊断利用宫颈细胞学进行检查、阴道镜检测和HPV检测有机结合,能够提升检出概率,降低假阴性。
Objective To study the main role of cervical smears, colposcopy and HPV testing in cervical cancer screening. Methods Cervical smears, colposcopy and HPV were detected at the same time, pathological histopathological abnormalities in patients with histopathological examination of the final results as the gold standard. For 100 patients with positive test results, the detection sensitivity of the three methods were compared. Results Among the 100 patients, the sensitivity was 61.23% in 30 cervical smear positive patients. The sensitivity of the 33 patients with positive colposcopy was 78.93%. Among 37 HPV positive patients, the infection rate was 83.13% The difference of sensitivity was statistically significant (P <0.05). Conclusion Cervical cancer screening and early diagnosis using cervical cytology for inspection, colposcopy and HPV testing organically combined to improve the detection probability and reduce false negatives.