首页|三阶梯技术在职工体检宫颈癌筛查中的应用效果观察

三阶梯技术在职工体检宫颈癌筛查中的应用效果观察

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目的:探讨三阶梯技术在职工体检宫颈癌筛查中的应用效果.方法:选择2022年1月1日~2022年12月31日职工体检宫颈癌筛查女性2800例,行三阶梯技术,即:液基细胞学(TCT)、阴道镜检查及病理学检查,对于TCT或HPV异常者行阴道镜检查,比较三种检测方法的诊断效果.绘制ROC曲线,分析不同检查方法在宫颈癌筛查中效能.结果:2800例经TCT筛查阳性147例,阳性检出率为5.25%;病理检查异常患者192例,ASCUS、ASCH诊断符合率低于LSIL、HSIL、SCC及AGCC(P<0.05);阴道镜于CINⅠ、CINⅡ、CINⅢ、浸润癌等不同疾病中符合率存在差异;ROC曲线结果表明:TCT、阴道镜检查及组织病理检查用于职工宫颈癌筛查灵敏度与特异度高于单一TCT、阴道镜检查及组织病理检查(P<0.05).结论:三阶梯技术用于职工体检宫颈癌筛查中,能提高诊断检出率,降低漏诊率及误诊率,可获得较高的诊断灵敏度与特异度.
Observation on the Application Effect of Three Step Technique in Cervical Cancer Screening During Employee Physical Examination
Objective:To explore the application effect of the three step technology in cervical cancer screening during employee physical examination.Methods:From January 1,2022 to December 31,2022,2800 female employees were selected for cervical cancer screening through physical examinations.Three step liquid based cytology(TCT),colposcopy and pathology was performed to compare the diagnostic effects of the three detection methods.Draw ROC curves and analyze the effectiveness of different examination methods in cervical cancer screening.Results:Among 2800 people,147 were positive through TCT screening,with a positive detection rate of 5.25%;There were 192 patients with abnormal pathological examination,and the diagnostic accuracy of ASCUS and ASCH was lower than that of LSIL,HSIL,SCC,and AGCC(P<0.05);There are differences in the coincidence rate of colposcopy in different diseases such as CINⅠ,CINⅡ,CINⅢ,and invasive cancer;The ROC curve results indicate that the sensitivity and specificity of TCT,colposcopy,and histopathological examination for screening cervical cancer in employees are higher than those of single TCT,colposcopy,and histopathological examination(P<0.05).Conclusion:The use of three-step technology in cervical cancer screening during employee physical examinations can improve diagnostic detection rate,reduce missed diagnosis rate and misdiagnosis rate,and achieve high diagnostic sensitivity and specificity.

three tiered technologyliquid based cytologycolposcopy examinationhistopathology examinationphysical examination of employeescervical carcinoma

温美珠、刘爱琳

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德化县医院 (福建 泉州 362500)

三阶梯技术 液基细胞学 阴道镜检查 组织病理学检查 职工体检 宫颈癌

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(6)
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