本文選題：宮頸細(xì)胞學(xué)檢查 + 高危型HPV檢測(cè)　； 參考：《現(xiàn)代婦產(chǎn)科進(jìn)展》2017年02期

【摘要】：目的:探討宮頸細(xì)胞學(xué)正常但高危型HPV感染婦女的宮頸病理結(jié)局。方法:回顧分析2014年1月~12月就診于湖北省婦幼保健院婦科門(mén)診的30歲以上行宮頸細(xì)胞學(xué)+Cervista高危型HPV聯(lián)合篩查婦女的臨床資料,對(duì)細(xì)胞學(xué)正常但高危型HPV感染且行陰道鏡檢查的218例婦女取活組織檢查,分析其病理結(jié)局。結(jié)果:218例患者中,宮頸病變占27.5%(60/218),其中宮頸低級(jí)別鱗狀上皮內(nèi)病變占11.0%(24/218),宮頸高級(jí)別鱗狀上皮內(nèi)病變占13.8%(30/218),宮頸浸潤(rùn)癌占2.8%(6/218)。HPV A9組感染共141例,其中CINⅡ/Ⅲ及以上病變21.3%(30/141),HPV A9組陽(yáng)性與A9組陰性者比較,CINⅡ/Ⅲ及以上病變檢出率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:即使細(xì)胞學(xué)檢查陰性,對(duì)宮頸高危型HPV檢測(cè)及陽(yáng)性結(jié)果尤其是A9組陽(yáng)性,應(yīng)高度重視,立即行陰道鏡檢查以早期發(fā)現(xiàn)宮頸高級(jí)別鱗狀上皮內(nèi)病變及宮頸浸潤(rùn)癌。
[Abstract]:Objective: to investigate the cervical pathological outcome of women with normal cervical cytology but high risk HPV infection. Methods: the clinical data of women over 30 years old who were diagnosed in gynecological clinic of Hubei Maternal and Child Health Hospital from January to December 2014 were analyzed retrospectively. Women who underwent Cervista high-risk type HPV screening by cervical cytology were analyzed retrospectively. Biopsy of 218 women with normal cytology but high risk HPV infection and colposcopy was performed and the pathological outcome was analyzed. Results among the 218 cases, cervical lesions accounted for 27.5% of 60 / 218g, of which 11.0% were low grade squamous intraepithelial lesions, 13.88% 30 / 218C were cervical high-grade squamous intraepithelial lesions, 141 cases were cervical invasive carcinoma, and 141 cases were infected in 2.8%(6/218).HPV A9 group. The positive rate of CIN 鈪，

本文編號(hào)：1913712