本文選題：網(wǎng)絡(luò)質(zhì)控　切入點(diǎn)：陰道鏡　出處：《實(shí)用婦產(chǎn)科雜志》2015年06期 　論文類型：期刊論文

【摘要】：目的:探討具有網(wǎng)絡(luò)質(zhì)控的陰道鏡在宮頸癌機(jī)會(huì)篩查中的臨床價(jià)值。方法:回顧分析2013年11月到2014年11月到重慶醫(yī)科大學(xué)附屬第二醫(yī)院就診的831例患者的具有網(wǎng)絡(luò)質(zhì)控的陰道鏡、宮頸液基細(xì)胞(TCT)、人乳頭瘤病毒(HPV)及宮頸活檢病理檢查結(jié)果;以病理檢查為金標(biāo)準(zhǔn),比較具有網(wǎng)絡(luò)質(zhì)控的陰道鏡、TCT、HPV單獨(dú)以及聯(lián)合對(duì)宮頸病變篩查的靈敏度、特異度、陽性預(yù)測(cè)值、陰性預(yù)測(cè)值及ROC曲線下面積。結(jié)果:具有網(wǎng)絡(luò)質(zhì)控的陰道鏡對(duì)≥CINⅡ病變檢出的特異度、陽性預(yù)測(cè)值及ROC曲線下面積分別為96.30%、85.63%、0.874,明顯高于TCT、HPV單獨(dú)或聯(lián)合檢測(cè)(P0.05);具有網(wǎng)絡(luò)質(zhì)控的陰道鏡聯(lián)合HPV檢測(cè)的靈敏度、陰性預(yù)測(cè)值分別為98.28%及99.28%,明顯高于其他方法單一或聯(lián)合檢測(cè)(P0.05)。Ⅰ型宮頸轉(zhuǎn)化區(qū)下陰道鏡對(duì)≥CINⅡ病變檢出的靈敏度、特異度、陽性預(yù)測(cè)值、陰性預(yù)測(cè)值及ROC曲線下面積分別為92.71%、98.67%、94.68%、98.15%、0.957,明顯高于Ⅱ型及Ⅲ型宮頸轉(zhuǎn)化區(qū)(P0.05)。結(jié)論:具有網(wǎng)絡(luò)質(zhì)控的陰道鏡可用于宮頸癌機(jī)會(huì)篩查;宮頸不同轉(zhuǎn)化區(qū)類型對(duì)陰道鏡診斷結(jié)果有一定影響,對(duì)Ⅱ型及Ⅲ型宮頸轉(zhuǎn)化區(qū)需聯(lián)合其他篩查手段。
[Abstract]:Objective: to investigate the clinical value of colposcopy with network quality control in the screening of cervical cancer. Methods: from November 2013 to November 2014, 831 patients admitted to the second affiliated Hospital of Chongqing Medical University were analyzed retrospectively. Colposcopy for quality control, The sensitivity, specificity, and positive predictive value of TCTHV alone and in combination with network quality control were compared, and the results of cervical biopsy and cervical biopsy were compared with the results of cervical fluid based cell (TCTT), human papillomavirus (HPV) and cervical biopsies, and compared the sensitivity, specificity and positive predictive value of TCTHPV with network quality control alone and in combination. Negative predictive value and area under ROC curve. Results: the specificity of colposcopy with network quality control for detection of 鈮，

本文編號(hào)：1598136