网络质控阴道镜在宫颈癌机会筛查中的临床价值

发布时间：2018-03-11 12:19

  本文选题：网络质控　切入点：阴道镜　出处：《实用妇产科杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的:探讨具有网络质控的阴道镜在宫颈癌机会筛查中的临床价值。方法:回顾分析2013年11月到2014年11月到重庆医科大学附属第二医院就诊的831例患者的具有网络质控的阴道镜、宫颈液基细胞(TCT)、人乳头瘤病毒(HPV)及宫颈活检病理检查结果;以病理检查为金标准,比较具有网络质控的阴道镜、TCT、HPV单独以及联合对宫颈病变筛查的灵敏度、特异度、阳性预测值、阴性预测值及ROC曲线下面积。结果:具有网络质控的阴道镜对≥CINⅡ病变检出的特异度、阳性预测值及ROC曲线下面积分别为96.30%、85.63%、0.874,明显高于TCT、HPV单独或联合检测(P0.05);具有网络质控的阴道镜联合HPV检测的灵敏度、阴性预测值分别为98.28%及99.28%,明显高于其他方法单一或联合检测(P0.05)。Ⅰ型宫颈转化区下阴道镜对≥CINⅡ病变检出的灵敏度、特异度、阳性预测值、阴性预测值及ROC曲线下面积分别为92.71%、98.67%、94.68%、98.15%、0.957,明显高于Ⅱ型及Ⅲ型宫颈转化区(P0.05)。结论:具有网络质控的阴道镜可用于宫颈癌机会筛查;宫颈不同转化区类型对阴道镜诊断结果有一定影响,对Ⅱ型及Ⅲ型宫颈转化区需联合其他筛查手段。
[Abstract]:Objective: to investigate the clinical value of colposcopy with network quality control in the screening of cervical cancer. Methods: from November 2013 to November 2014, 831 patients admitted to the second affiliated Hospital of Chongqing Medical University were analyzed retrospectively. Colposcopy for quality control, The sensitivity, specificity, and positive predictive value of TCTHV alone and in combination with network quality control were compared, and the results of cervical biopsy and cervical biopsy were compared with the results of cervical fluid based cell (TCTT), human papillomavirus (HPV) and cervical biopsies, and compared the sensitivity, specificity and positive predictive value of TCTHPV with network quality control alone and in combination. Negative predictive value and area under ROC curve. Results: the specificity of colposcopy with network quality control for detection of 鈮，

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