摘要
目的 对宫颈癌疾病采用TCT检测、HPV-PCR检测与阴道镜活检诊断的临床价值。方法 抽选广东省河源市龙川县妇幼保健院自2018年10月至2020年5月收入的60例宫颈癌患者入组,均开展TCT检查、HPV-PCR以及阴道镜检查,对比三项检查结果,分析临床宫颈癌疾病诊断方法。结果 以阴道镜检查结果作为对比,TCT检查可有效检出炎症反应、HSIL、SCC,检出率>80%,而对于ASCUS、ASCUS-H而言诊断符合率较低;HPV-PCR诊断中CINⅠ、CINⅡ-Ⅲ感染率达到99.7%,而炎症反应、SCC、ASCUS等感染率均未超过50%。结论 宫颈癌疾病诊断中TCT、HPV-PCR及阴道镜检查更具优劣势,在不同类型宫颈癌诊断中不同方法的检出情况各不相同,临床可根据患者的实际情况与经济状态选择最佳的检查诊断方式。
Objective to evaluate clinical value of TCT,HPV-PCR and colposcopic biopsy in diagnosis of cervical cancer.Methods The paper chose 60 cases cervical cancer patients in our hospital from October 2018 to may 2020 for TCT examination,HPV-PCR and colposcopy examination.Result of three examinations were compared,and clinical diagnosis methods of cervical cancer were analyzed.Results Comparison of colposcopy results shows,TCT can detect inflammatory reaction,HSIL and SCC effectively,with detection rate of more than 80%,while diagnostic coincidence rate of ASCUS and ASCUS-H is low;in HPV-PCR diagnosis,infection rates of CIN I and CIN II-III were 99.7%,while those of inflammatory reaction,SCC and ASCUS were less than 50%.Conclusion TCT,HPV-PCR and colposcopy has more advantages and disadvantages in diagnosis of cervical cancer,different methods achieve different detection in diagnosis of different types of cervical cancer.The best way of examination and diagnosis can be selected according to actual situation and economic status of patients.
作者
刘小梅
陈凤鸣
陈丽洁
LIU Xiao-mei;CHEN Feng-ming;CHEN Li-jie(Department of Gynecology,Longchuan City Maternal and Child Health Hospital,Heyuan,Guangdong,517300)
出处
《智慧健康》
2021年第15期13-15,共3页
Smart Healthcare
基金
河源市科技计划项目(项目编号:200807091500001)。
