摘要
目的探讨阴道镜检查与人乳头瘤病毒(HPV)检测在超薄液基细胞学(TCT)阳性患者中的诊断价值。方法对细胞学阳性的患者114例行阴道镜检查,93例行高危HPV(HR-HPV)检测,并行宫颈活检确诊。对二者进行比较,包括灵敏度、特异度、阳性预测值、阴性预测值。结果阴道镜检查、HR-HPV检测的灵敏度、特异度、阳性预测值、阴性预测值分别为:98.0%和89.4%、33.3%和87.5%、92.6%和98.7%、66.7%和43.6%,二者的灵敏度、特异度比较差异有统计学意义。结论阴道镜检查有较高的灵敏度而特异性差,易过度诊断;HPV检测特异性高于阴道镜,误诊率较低。
Objective To explore the significance of colposcopy and HR-HPV test in the abnormal liquid based cytological results.Methods 114 patients with abnormal liquid based cytological results were performed colposcopy,93 patients were performed HR-HPV test,and then multi-focal biopsies demonstrated the lesion to analyze the difference between the two group.Results The sensitivity,specificity,positive predictive value and negative predictive value was 98.0% and 89.4%,33.3% and 87.5%,92.6% and 98.7%,66.7% and 43.6%,respectively.Conclusion The sensitivity was higher and the specificity was lower of colposcopy than that of HPV test.
出处
《山西医药杂志（上半月）》
CAS
2010年第11期1003-1004,共2页
Shanxi Medical Journal
基金
辽宁省教育厅高等学校科研项目(20060925)
关键词
阴道镜检查
乳头瘤病毒
人
宫颈疾病
细胞学技术
Colposcopy
Papillomavirus
human
Uterine cervical diseases
Cytological techniques
