摘要
目的总结子宫颈脱落细胞学、阴道镜及HPV检测在宫颈病变诊断中的临床经验,对宫颈癌筛查提出合理化建议。方法对2003年1月～2006年12月在该院进行宫颈病变筛查的2500名已婚妇女,进行新柏氏液基薄层细胞学(TCT)检查、人乳头瘤病毒(HPV)检测和阴道镜检查。结果该文2500名进行宫颈癌筛查的妇女中,宫颈良性病变2165例,占86.6%,宫颈不典型增生和上皮内瘤样病变(CIN)共332例,占13.28%,宫颈癌3例,占0.12%;宫颈良性病变中HPV阳性641例,占29.60%,宫颈不典型增生和上皮内瘤样病变中HPV阳性66例,占19.88%,宫颈癌HPV阳性3例,占100%。结论积极谨慎对待宫颈炎性病变,TCT、HPV检测、阴道镜三项同时检查,该方案所筛查宫颈病变技术先进,漏诊率低。
[Objective] It is to draw clinical experience of cervical exfoliated cytology, colposcopy and HPV test in cervical lesions and to propose reasonable suggestions for cervical cancer screening. [Method] ThinPrep Cytologie Test （TCT）, human papillomavirns HPV test and colposcopy examination were earried out on 2500 married women during their cervical cancers screening in Guangxi Nanning Maternity ＆ Infant Health Care Center from January, 2003 to December, 2006. [Result] Among the 2500 women conducting cervical cancers sereening, there are 2165 （86.6%） cases of cervical benign lesion, 332 （13.28%） cases of cervical atypical hyperplasia and cervical intraepithelial neoplasia （CIN） and 3 （0.12%） cases of cervical cancer. There are 641 （29.6%） HPV positive cases of cervical benign lesions, 66 （19.88%） HPV positive cases of cervical atypical hyperplasia and cervical intraepithelial neoplasia （CIN）, and 3 （100%） HPV positive cases of cervical cancer. [Conclusion] Cervieal lesions should be treated positively and cautiously, and TCT, HPV test and colposcopy examination shall be carried out simultaneously. The method is advanced and has low omission diagnostic rate in cervical lesion screening.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2008年第9期1242-1244,共3页
China Journal of Modern Medicine
