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目的:分析在宫颈癌筛查中引入宫颈细胞学检查结合阴道镜检查的诊断效果。方法:选择了2014年1月-2015年1月在我院接受宫颈癌筛查的100例患者作为研究对象,所有患者均给予了宫颈细胞学检查结合阴道镜检查,而对TCT检测中AS-CU及以上患者又给予了HPV-DNA检测结合阴道镜检查,然后对其检查结果进行对比。结果:通过对患者进行液基细胞学检查(TCT),结果发现AS-CU及以上患者有58例,其中阴性(AS-CU)44例,阳性14例。对以上患者进行了HPV-DNA检测,发现有阴性患者31例,阳性患者27例。阴道镜检测发现,HPV-DNA27例阳性患者中,阴道镜检测阴性19例,阴性率70.37%,阳性8例,阳性率29.63%。结论:在进行宫颈癌筛查过程中,给予宫颈细胞学检查结合阴道镜检查不仅可以提高宫颈癌的诊断率,而且还能为后期治疗及康复提供借鉴意义,有效的降低了患者的病死率和复发率。
Objective: To analyze the diagnostic effect of cervical cytology and colposcopy in cervical cancer screening. Methods: A total of 100 patients who underwent cervical cancer screening in our hospital from January 2014 to January 2015 were enrolled in this study. Cervical cytology combined with colposcopy was given in all patients. Patients with CU and above were given a HPV-DNA test combined with a colposcopy and the results of the test were compared. RESULTS: Based on liquid-based cytology (TCT), 58 patients with AS-CU and above were identified, 44 of whom were negative (AS-CU) and 14 were positive. HPV-DNA tests on the above patients found that there were 31 cases of negative patients, positive patients in 27 cases. Colposcopy test found that, HPV-DNA27cases of positive patients, negative colposcopy in 19 cases, the negative rate of 70.37%, positive in 8 cases, the positive rate of 29.63%. Conclusion: Cervical cytology combined with colposcopy in cervical cancer screening can not only improve the diagnosis rate of cervical cancer, but also provide reference for later treatment and rehabilitation, effectively reduce the case fatality rate and Recurrence rate.