段仙芝,宋艳波,王少明.宫颈液基细胞学结果与高危型人乳头瘤病毒的相关性[J].中国肿瘤,2015,24(1):76-80.
宫颈液基细胞学结果与高危型人乳头瘤病毒的相关性
Correlation of the Results of Cervical Liquid-Based Cytology and High-Risk Human Papillomavirus Infection
投稿时间:2014-06-30  
DOI:10.11735/j.issn.1004-0242.2015.01.A017
中文关键词:  液基细胞学  Cervista  HPV  宫颈癌  筛查
英文关键词:liquid-based cytology  Cervista  HPV  cervical cancer  screening
基金项目:卫生部医药卫生科技发展计划[卫技中201043号]
作者单位
段仙芝 首都医科大学附属北京同仁医院 
宋艳波 北京市大兴区亦庄医院 
王少明 北京协和医学院中国医学科学院肿瘤医院 
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中文摘要:
      摘 要:[目的] 探讨宫颈液基细胞学结果和高危型人乳头瘤病毒(HPV)的相关性,为不同卫生资源地区宫颈癌初筛方法的选择提供科学数据。[方法] 2012~2013年选取内蒙古地区20~69岁女性25 731名,采用新柏氏液基细胞学技术开展筛查。并采用Cervista方法进行HPV检测。对细胞学异常或HPV阳性者召回行阴道镜检查。[结果] 液基细胞学异常率为5.8%,HPV总阳性率为24.5%,A9型为最常见的HPV感染型别,感染率为7.8%。HPV阳性率和A9型阳性率均与细胞学病变级别显著性正相关,相关系数分别为0.253和0.226(P<0.001)。[结论] Cervista HPV检测技术是宫颈癌筛查的有效手段,通过该技术对宫颈癌进行初筛并对高危人群分流管理,可扩大筛查覆盖面,使更多百姓受益。
英文摘要:
      Abstract:[Purpose] To investigate the correlation of the results of liquid-based cytology and high-risk human papillomavirus(HPV) infection,and to provide scientific data for selecting primary screening technologies for cervical cancer in various economic areas.[Methods] From 2012 to 2013,a total of 25731 women aged 20~69 in Inner Mongolia were screened by Thinprep liquid-based cytology for cervical cancer. The samples were tested for HPV infection by Cervista method. Those women with abnormal cytological results or HPV infection were referred to colposcopy.[Results] The positivity of cytology and HPV infection was 5.8% and 24.5%,respectively. A9 group were the most common infective HPV types with a positive rate of 7.8%. Both the total HPV infection rate and A9 group HPV infection rate were positively associated with the grade of cytological abnormity,with a correlation coefficient of 0.253 and 0.226,respectively (P<0.001).[Conclusion] Cervista HPV detection is an effective method for primary screening cervical cancer and for the management of high-risk population,and it can be used in different areas to expand the coverage of screening.
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