首页|HPV-DNA分型检测联合TCT检查用于宫颈癌筛查的临床价值研究

HPV-DNA分型检测联合TCT检查用于宫颈癌筛查的临床价值研究

扫码查看
目的:探讨人乳头瘤病毒(HPV)-DNA分型检测联合宫颈薄层液基细胞学(TCT)检查用于宫颈癌筛查的临床价值.方法:选择2021年6月~2022年12月本院收治的宫颈病变患者256例,所有入选者均行HPV-DNA分型、TCT.以阴道镜活检为金标准,分析HPV-DNA分型检测、TCT检查单项与联合诊断宫颈癌的价值,并计算一致性.结果:256例宫颈病变患者,经阴道镜检查发现156例阳性,检出率为60.94%.TCT、HPV-DNA联合诊断的灵敏度96.15%、特异度95.00%、准确度95.70%、阳性预测值96.77%、阴性预测值94.06%均高于TCT、HPV-DNA,差异有统计学意义(P<0.05).TCT、HPV-DNA联合诊断宫颈癌与阴道镜检查结果的一致性优于TCT与HPV-DNA.结论:宫颈癌筛查中使用HPV-DNA分型检测联合TCT检查可提高诊断准确率,为临床诊疗提供更多参考信息.
Clinical Value of HPV-DNA Typing Combined with TCT for Cervical Cancer Screening
Objective:To explore the clinical value of human papillomavirus(HPV)-DNA typing combined with cervical thin layer liquid based cytology(TCT)for cervical cancer screening.Methods:256 patients with cervical lesions admitted to our hospital from June 2021 to December 2022 were selected,and all participants underwent HPV-DNA typing and TCT.Using colposcopy biopsy as the gold standard,analyze the value of HPV-DNA typing test,TCT examination for single and combined diagnosis of cervical cancer,and calculate consistency.Results:Among the 256 patients with cervical lesions,156 were found to be positive through colposcopy examination,with a detection rate of 60.94%.The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of TCT and HPV-DNA combined diagnosis were 96.15%,95.00%,95.70%,96.77%,and 94.06%,respectively,higher than those of TCT and HPV-DNA,with statistically significant differences(P<0.05).The consistency between the combined diagnosis of cervical cancer with TCT and HPV-DNA and the results of colposcopy is better than that of TCT and HPV-DNA.Conclusion:The use of HPV-DNA typing combined with TCT in cervical cancer screening can improve diagnostic accuracy and provide more reference information for clinical diagnosis and treatment.

cervical cancerHPV-DNA typingTCT inspectiondiagnosis

饶海琴、黄婷

展开 >

高安市妇幼保健院检验科(江西高安 330800)

高安市妇幼保健院妇科(江西高安 330800)

宫颈癌 HPV-DNA分型 TCT检查 诊断

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(4)
  • 12