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北京市宫颈癌筛查宫颈细胞学结果分析 被引量:18

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摘要 目的:了解北京市适龄妇女生殖健康状况。方法:2008年~2009年对北京市25~65岁户籍妇女进行妇科及宫颈细胞学检查,记录个人基本信息及个人病史。结果:宫颈癌筛查728 704人,进行传统巴氏细胞学检查的妇女共有424 620人,阳性(ASC-US及以上)检出率2.17%。国产液基细胞学技术检查304 078例,阳性检出率为2.42%。在细胞学结果为鳞状上皮内高度病变的1 031人中,有26人被最终确诊为宫颈癌,并且有219人最终诊断为宫颈上皮内瘤变。细胞学结果为鳞状细胞癌的27人中,有7人被最终确诊为宫颈癌,并且有6人最终诊断为癌前病变。传统巴氏的灵敏度为75.00%,特异度为97.80%。国产液基的灵敏度为59.10%,特异度为97.60%。结论:筛查中宫颈细胞学阅片困难凸显,由于阅片人员有限,且仅有的阅片人员能力水平较低,使得细胞学阅片结果敏感度不高。
出处 《中国妇幼保健》 CAS 北大核心 2011年第13期1938-1940,共3页 Maternal and Child Health Care of China
基金 北京市科委课题〔D09050703570901〕
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