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目的探讨子宫颈癌普查性早期筛查的优选路径。方法从临床证据和文献证据两个方面,剖析各种筛查方法的不同适用性。结果人乳头瘤病毒(HPV)检测方法,阴性预测率高于99%,甚至达到100%。液基薄层细胞学检查(TCT),诊断符合率90%。结论大规模子宫颈癌筛查的路径应以HPV检测为初筛起点,筛查的路径是:HPV检测(阳性)→TCT(阳性)→阴道镜多点取材→组织病理检查。
Objective To investigate the optimal path of screening early screening of cervical cancer. Methods From the clinical evidence and documentary evidence, we analyzed the different applicability of various screening methods. Results Human papilloma virus (HPV) detection method, the negative predictive rate was higher than 99%, even up to 100%. Liquid-based thin-layer cytology (TCT), the diagnostic accuracy of 90%. Conclusion The path of large-scale cervical cancer screening should be HPV testing as the starting point of screening, screening pathways are: HPV test (positive) → TCT (positive) → colposcopy multi-point drawing → histopathological examination.