ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-055 检验与方法 2026, (01)

宫颈液基细胞学检查联合人乳头瘤病毒检查在宫颈癌与癌前病变筛查中的应用研究

遵义市汇川区妇幼保健院

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摘要

摘要:目的 研究宫颈液基细胞学检查(TCT)联合人乳头瘤病毒(HPV)检查在宫颈癌与癌前病变筛查中 的应用价值。方法 选择我院 2022 年 6 月至 2024 年 12 月期间收诊的 80 例疑似宫颈癌需进一步筛查的病例,均接受 TCT 联合 HPV 检查,以病理检查结果为金标准,对 TCT 联合 HPV 检查在宫颈癌与癌前病变筛查中的价值进行评价分析。结果 在 80 例疑似宫颈癌患者中,病理检查结果确诊为宫颈癌与癌前病变者 50 例,余 30 例均非 宫颈癌。TCT 单一检测结果呈阳性者 43 例,HPV 检测结果呈阳性者 40 例,TCT 与 HPV 联合检测,结果呈阳性者 48 例。参照病理活检结果,TCT 与 HPV 联合检测的灵敏度与准确性高于 TCT 与 HPV 单一检测,差异有统计学意义(P<0.05)。结论 TCT 联合 HPV 检查在宫颈癌与癌前病变筛查中具有较高的灵敏度与准确性,将这两种检测方式联合应用,能够有效提升宫颈癌诊断准确性,促进宫颈疾病的早诊断与早治疗。

Abstract

Abstract: Objective To study the application value of thinprep cytologic test (TCT) combined with human papillomavirus (HPV) test in the screening of cervical cancer and precancerous lesions. Methods A total of 80 cases of suspected cervical cancer requiring further screening admitted to our hospital from June 2022 to December 2024 were selected. All cases underwent TCT combined with HPV testing. With the results of pathological examination as the gold standard, the value of TCT combined with HPV testing in the screening of cervical cancer and precancerous lesions was evaluated and analyzed. Results Among the 80 suspected cervical cancer patients, 50 cases were diagnosed with cervical cancer and precancerous lesions by pathological examination, and the remaining 30 cases were non-cervical cancer. There were 43 cases with positive results in single TCT detection, 40 cases with positive results in HPV detection, and 48 cases with positive results in combined TCT and HPV detection. Referring to the results of pathological biopsy, the sensitivity and accuracy of combined TCT and HPV detection were higher than those of single TCT or HPV detection, and the differences were statistically significant (P<0.05). Conclusion TCT combined with HPV test has high sensitivity and accuracy in the screening of cervical cancer and precancerous lesions. The combined application of these two detection methods can effectively improve the accuracy of cervical cancer diagnosis and promote the early diagnosis and treatment of cervical lesions.

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[1]晏德容.宫颈液基细胞学检查联合人乳头瘤病毒检查在宫颈癌与癌前病变筛查中的应用研究[J],2026,01(01):.