摘要
目的分析HPV、TCT及阴道镜筛查用于宫颈癌癌前病变及早期宫颈癌的临床诊断中的诊断价值。方法经我院医学伦理委员会审批,并经患者同意的基础上。回顾分析于2020年9月至2021年10月于我院接受宫颈癌检查的患者334例为研究对象。其中癌前病变患者190例,早期宫颈癌患者144例。随机数字分为观察组167例与对照组167例。对照组采用HPV联合TCT检查,观察组在HPV联合TCT检查的基础上,增加使用阴道镜检查。统计临床检出情况;统计阴道镜检查的具体检出情况;统计阴道镜检查的灵敏性、特异性及准确性。结果观察组宫颈癌检查与宫颈癌前病变检查的检出率均低于病理学检查,但差异无统计学意义(P>0.05)。观察组宫颈癌检查与宫颈癌前病变检查的检出率均显著高于对照组,差异均具有统计学意义(P<0.05);观察组在CINⅠ、CINⅡ异常、CINⅡ炎症及CINⅢ等项目的检查中,检出率均显著高于对照组,差异均具有统计学意义(P<0.05);观察组灵敏性、特异性及准确性均超过90%,统计比率较高。结论HPV、TCT及阴道镜筛查用于宫颈癌癌前病变及早期宫颈癌的临床诊断中能实现较好的诊断价值,检出率较高,针对具体病症的识别率较好。建议在临床诊断中推广、使用。
Objective To analyze the diagnostic value of HPV,TCT and colposcopy screening in the diagnosis of cervical cancer precancerous lesions and early cervical cancer.Methods On the basis of the approval of medical ethics committee of our hospital and consent of patients.A retrospective analysis of 334 patients who underwent cervical cancer examination in our hospital from September 2020 to October 2021 was conducted.There were 190 cases of precancerous lesions and 144 cases of early cervical cancer.Randomly divided into observation group 167 cases and control group 167 cases.The control group was treated with HPV combined with TCT,and the observation group was treated with colposcopy in addition to HPV combined with TCT.Statistics of clinical detection;Statistics of the specific detection of colposcopy;The sensitivity,specificity and accuracy of colposcopy were counted.Results The detection rates of cervical cancer and cervical prelesion in the observation group were lower than those in pathological examination,but the difference was not statistically significant(P>0.05).The detection rates of cervical cancer and cervical precancerous lesion in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The detection rates of CINⅰ,CINⅱabnormality,CINⅱinflammation and CINⅲin the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The sensitivity,specificity and accuracy of the observation group were over 90%,and the statistical ratio was high.Conclusion HPV,TCT and colposcopy screening can achieve good diagnostic value in the clinical diagnosis of cervical cancer precancerous lesions and early cervical cancer,with high detection rate and good recognition rate for specific diseases.It is recommended to be popularized and used in clinical diagnosis.
作者
王岩
Wang Yan(Daqing Central Blood Bank,heilongjiang daqing 163000)
出处
《实用妇科内分泌电子杂志》
2021年第13期24-26,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫颈癌
宫颈癌癌前病变
阴道镜检查
Cervical cancer
Precancerous lesions of cervical cancer
colposcopy
