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1. 重庆市肿瘤研究所妇瘤科
2. 重庆医科大学基础医学院放射医学教研室,重庆,400030
3. ,重庆,400016
纸质出版日期:2008,
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[1]李蓉,周琦,王冬,姜红薇,王树斌.宫颈不典型鳞状细胞的临床处理探讨[J].重庆医科大学学报,2008(02):234-236.
LI Rong, et al. Explore the value of the further method in ASCUS of cervical smear[J]. Journal of Chongqing Medical University, 2008,(2):234-236.
目的:探讨宫颈细胞学性质未定的不典型鳞状细胞(Atypical squamous cells undetermined significance
ASCUS)进一步处理的临床路径。方法:对118例宫颈细胞学诊断为ASCUS的患者
联合采用HC-Ⅱ检测高危型HPV检测和阴道镜指导下活组织检查。结果:118例宫颈细胞学ASCUS病理组织学诊断慢性炎症72例(61.02%)
CINⅠ31例(26.27%)
CINⅡ9例(7.63%)
CINⅢ6例(5.08%);同时HC-Ⅱ检测高危型HPV阳性40例(33.90%)
40例中33例为上皮内瘤变
并发现13例HPV阴性为上皮内瘤变
两者比较有统计学意义(χ2=48.18
P<0.05);HC-Ⅱ检测和阴道镜检查诊断上皮内瘤变的灵敏度
分别为71.74%和78.26%
无统计学意义(χ2=0.325
P>0.05)。结论:宫颈细胞学诊断为ASCUS的病例中上皮内瘤变率高
应加强对ASCUS患者的重视
HPV-DNA检测和阴道镜检查是对ASCUS进一步处理的有效方法
尤其对高危型HPV阳性的病例
应在阴道镜下行活组织检查
正确运用这2种方法
可提高宫颈病变筛查的阳性率
减少癌前病变的漏诊。
Objective:To explore clinical significance of the further method dealt with in ASCUS(atypical squamous cells undetermined significance) of cervical smear.Methods:118 patients with ASCUS were detected by colposcopy and high risk HPV test
simultaneously make biopsy of cervical guided by colposcopy.Result:By diagnosed with pathology
chronic cervical inflammation is 72 cases
46 cases were CIN(cervical intraepithelial neoplasia).In this study 40 cases were positive in HPV test which 33 cases are CIN(χ2=48.18
P<0.05).Comparae the sensitivity of Human papillomavirus(HPV) test with colposcopy has no significance(71.74% vs 78.26%;P>0.05).Conclusion:There are high CIN csses in Women with ASCUS whose should be paid attention to and strengthen management.Colposcopy and high risk HPV test are efficiency method to ASCUS
especially high risk HPV test is positive that need detective by colposcopy.The combination of colposcopy and high risk HPV test can improve detective rate and accuracy of cervical intraepithelial neoplasia(CIN).
ASCUS阴道镜HPV-DNA检测
ASCUSColposcopyHuman papillomavirus test
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