阴道镜检查联合宫颈人乳头瘤病毒检测在宫颈病变早期诊断中的应用价值
发布时间：2019-08-11 16:35
【摘要】：目的探讨阴道镜检查联合宫颈人乳头瘤病毒(HPV)检测在宫颈病变早期诊断中的应用价值。方法选取2010年1月-2014年12月于该院治疗的212例液基细胞学检查(LCT)呈阴性的以接触性阴道出血为主要临床表现的患者作为研究对象,回顾性分析其阴道镜检查及HPV检测结果,并与宫颈活检组织病理学进行比较。结果 212例患者中,宫颈活检组织病理检查结果确诊为宫颈癌者70例,确诊率为33.0%。阴道镜检查、HPV检测及两者联合与宫颈活检病理检查结果一致性程度分别为中度、中度和极强(K=0.567、0.473和0.832)。阴道镜检查联合HPV检测早期诊断宫颈癌的灵敏度为91.4%,明显高于单一阴道镜检查和HPV检测(均P0.05),其特异度为93.0%,与单一阴道镜检查和HPV检测比较差异无统计学意义(均P0.05)。结论阴道镜检查联合HPV检测在早期诊断宫颈癌中具有良好的应用价值,对于LCT检查阴性的以接触性阴道出血为主要临床表现的患者,应当采用该联合检查方法,以提高宫颈癌的检出率。
[Abstract]:Objective to evaluate the value of colposcopy combined with cervical human papillomavirus (HPV) in the early diagnosis of cervical lesions. Methods from January 2010 to December 2014, 212 patients with negative (LCT) and contact vaginal bleeding were selected as the subjects. The results of colposcopy and HPV were analyzed and compared with the pathological changes of cervical biopsies. Results among 212 cases, 70 cases were diagnosed as cervical cancer by pathological examination, the diagnostic rate was 33.0%. Colposcopy, HPV and their combination with cervical biopsies were moderate, moderate and extremely strong (K 鈮，
本文编号：2525403
[Abstract]:Objective to evaluate the value of colposcopy combined with cervical human papillomavirus (HPV) in the early diagnosis of cervical lesions. Methods from January 2010 to December 2014, 212 patients with negative (LCT) and contact vaginal bleeding were selected as the subjects. The results of colposcopy and HPV were analyzed and compared with the pathological changes of cervical biopsies. Results among 212 cases, 70 cases were diagnosed as cervical cancer by pathological examination, the diagnostic rate was 33.0%. Colposcopy, HPV and their combination with cervical biopsies were moderate, moderate and extremely strong (K 鈮，
本文编号：2525403
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