首页|高危型人乳头瘤病毒检测联合液基薄层细胞学检查在宫颈上皮内瘤变诊断中的效能

高危型人乳头瘤病毒检测联合液基薄层细胞学检查在宫颈上皮内瘤变诊断中的效能

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目的:分析高危型人乳头瘤病毒(HR-HPV)检测联合液基薄层细胞学检查(TCT)在宫颈上皮内瘤变(CIN)诊断中的效能。方法:回顾性分析2021年4月至2023年4月该院收治的148例疑似CIN患者的临床资料,均行TCT、HR-HPV检测及病理学检查。以病理学检查结果为金标准,比较HR-HPV、TCT单项及联合检测在CIN诊断中的效能。结果:148例疑似CIN患者中,病理学检查诊断阳性95例,阴性53例;TCT诊断阳性88例,阴性60例;HR-HPV检测诊断阳性78例,阴性70例;HR-HPV检测联合TCT诊断阳性93例,阴性55例;HR-HPV检测联合TCT诊断CIN的灵敏度、准确度、阴性预测值均高于二者单项检测,漏诊率低于二者单项检测,差异有统计学意义(P<0。05)。结论:HR-HPV检测联合TCT诊断CIN的效能高于二者单项检测。
Efficiency of high-risk human papillomavirus detection combined with thin-prep cytology test in diagnosis of cervical intraepithelial neoplasia
Objective:To analyze efficiency of high-risk human papillomavirus (HR-HPV) detection combined with thin-prep cytology test (TCT) in diagnosis of cervical intraepithelial neoplasia (CIN). Methods:The clinical data of 148 patients with suspected CIN admitted to this hospital from April 2021 to April 2023 were retrospectively analyzed. TCT,HR-HPV detection and pathological examination were performed. Using the results of pathological examination as the gold standard,the efficienciy of single and combined detection of HR-HPV,TCT in the diagnosis of CIN were compared. Results:Among the 148 patients with suspected CIN,pathological examination diagnosis was positive in 95 cases and negative in 53 cases. TCT diagnosis was positive in 88 cases and negative in 60 cases. HR-HPV test was positive in 78 cases and negative in 70 cases. HR-HPV detection combined with TCT diagnosed 93 positive cases and 55 negative cases. The sensitivity,accuracy and negative predictive value of HR-HPV detection combined with TCT in the diagnosis of CIN were higher than those of two individual single detection,the missed diagnosis rate was lower than that of two individual single detection,and the differences were statistically significant (P<0.05). Conclusions:The efficiency of HR-HPV detection combined with TCT in the diagnosis of CIN is higher than that of each single detection.

Cervical intraepithelial neoplasiaThin-prep cytology testHigh-risk human papillomavirusDiagnosis

郭玲

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信阳市中心医院健康管理科,河南 信阳 464000

宫颈上皮内瘤变 液基薄层细胞学检查 高危型人乳头瘤病毒 诊断

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)