人乳头瘤病毒、宫颈液基薄层细胞学联合阴道镜检查在早期宫颈病变筛查中的意义  

Significance of human papillomavirus,cervical fluid base thin layer cytology combined with colposcopy in cervical disease screening

作　　者：丘小梅 潘家兴[1] Qiu Xiaomei;Pan Jiaxing(Department of Gynecology,Yulin First People's Hospital,Yulin 537000,China)

机构地区：[1]玉林市第一人民医院妇科,广西玉林537000

出　　处：《实用妇科内分泌电子杂志》2023年第25期90-92,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨人乳头瘤病毒(HPV)、宫颈液基薄层细胞学(TCT)联合阴道镜检查在早期宫颈病变筛查中的作用。方法选取548例宫颈病变患者,所有患者分别接受HPV、TCT、阴道镜检查,将病理学检查结果作为金标准,观察HPV、TCT及其联合阴道镜检查的诊断效果。结果HPV+TCT+阴道镜检查诊断不同宫颈癌前病变符合率92.52%均高于HPV检查84.49%、TCT检查的67.34%,差异有统计学意义(P<0.05)。结论HPV、TCT、阴道镜检查联合应用,能尽早发现宫颈病变,有助于减少漏诊发生,具有较高的临床应用价值。Objective To investigate the role of human papillomavirus(HPV),cervical fluid base thin layer cytology(TCT)combined with colposcopy in early screening of cervical lesions.Methods 548 patients with cervical lesions were selected,and all patients received HPV,TCT and colposcopy,respectively.Pathological examination results were used as the gold standard to observe the diagnostic effect of HPV,TCT and their combined colposcopy.Results The coincidence rate of HPV+TCT+colposcopy in the diagnosis of different cervical prelesions was 92.52%higher than that of HPV examination 84.49%and TCT examination 67.34%,the difference was statistically significant(P<0.05).Conclusion The combined application of HPV,TCT and colposcopy can detect cervical lesions as early as possible,help to reduce the occurrence of missed diagnosis,and has high clinical application value.

关 键 词：人乳头瘤病毒 宫颈液基薄层细胞学检查 阴道镜检查 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]