【摘要】 目的分析东莞市塘厦镇免费宫颈癌筛查结果,探讨宫颈癌普查的临床价值。方法对塘厦镇2012年10月至2013年9月共5 368例35~59岁妇女采用妇科常规、液基细胞学检查(TCT)和HPV-DNA检测,对TCT和(或)高危型HPV阳性患者行阴道镜检查及必要的宫颈组织活检,比较各检查方法的阳性率。结果人群筛查中HPV阳性率(7.94%)高于TCT阳性率(1.27%);但组织活检阳性率TCT(67.65%)高于HPV(35.21%),差异均有统计学意义(P<0.05);TCT及HPV均阳性患者组织活检阳性率83.72%。结论 TCT联合HPV-DNA检测能够明显提高CIN的敏感性及准确性,对CIN早期发现及治疗具有重要的临床意义。更多还原

【Abstract】 Objective To analyze cervical cancer screening results of Tangxia town of Dongguan city and investigate the clinical value of cervical cancer screening. Methods The routine gynecological,liquid-based cytology and HPV-DNA detection for 5 368 cases of 35-59 years old women in Tangxia town of 2012.10-2013.09. Colposcopy and cervical biopsy were performed for the TCT and(or) high-risk HPV positive patients. Results The positive rate of HPV(7.94%) was higher than the positive rate of TCT(1.27%);positive rates of TCT and HPV of biopsy tissue were both 83.72% patients.TCT positively rate was 67.65% and HIV positive rate was 35.21%, with significant difference(P<0.05). Conclusion TCT combined with HPV test can significantly improve the sensitivity and accuracy of cervical cancer early detection and hence prompt treatment.更多还原