妇女逐阶梯宫颈癌筛查方法探析

摘要

Objective:To explore the specific operation method and the practice effect of step by step cervical cancer screening method for women.Methods:Women who had sexually active and did not taken HPV examination examined by HPV+TCT were selected.The HPV and TCT examination results were counted.Results:680 patients were examined by two methods at the same time,and 1 073 patients were only examined by TCT(including person who only take TCT inspection during unit physical examination),a total of 37 cases with HPV(+)and TCT(+).The cervical biopsy results were all abnormal.The positive rate of the disease was 100%,and a total of 17 cases with HPV(-)and TCT(+),they were all chronic cervicitis by biopsy.Considering TCT false positive,the false positive rate was 37%,a total of 108 cases with HPV(+)and TCT(-).Conclusion:In order to standardize the process of cervical cancer screening,it should be combined with TCT and HPV to improve the reliability of diagnostic results.%目的：探讨妇女逐阶梯宫颈癌筛查的具体操作方法及实践效果。方法：收治有性生活且未行HPV检查的妇女进行 HPV+TCT 检查，统计 HPV 与 TCT 检查结果。结果：同时行两种检查的患者共680例，仅行 TCT 检查的1073例(包括单位体检仅行 TCT 检查人员)，HPV(+)、TCT(+)患者共37例，阴道镜活检均有异常，其病检阳性率100%，HPV(-)、TCT(+)共17例，活检均为慢性宫颈炎，考虑TCT假阳性，假阳性率37%，HPV(+)、TCT(-)共108例。结论：为规范宫颈癌筛查流程，应当联合HPV与TCT检查以提高诊断结果的可靠性。