四川医学2017,Vol.38Issue(2):178-181,4.DOI:10.16252/j.cnki.issn1004-0501-2017.02.016
人乳头瘤病毒E6/E7 mRNA在宫颈疾病筛查中的临床价值
Clinical Value of Human Papillomavirus E6/E7 mRNA in Screening of Cervical Diseases
涂媛 1陈琼 1石海鹏 1李芬 1李钒 1何林 1章培1
作者信息
- 1. 成都市第二人民医院病理科,四川 成都610017
- 折叠
摘要
Abstract
Objective To investigate the value of quantitative detection of Human Papillomavirus( HPV) E6/E7 mRNA in cervical lesion screening. Methods Thinprep Cytologic Test( TCT) and HPV E6/E7 mRNA quantitative determination were adopt-ed in the same time for 217 cases of patients in our hospital. Results The positive rate of HPV E6/E7 mRNA rose following the elevation of cytology and pathology grade of cervical lesions. The diagnostic sensitivity of HPV E6/E7 mRNA on cervical intraepi-thelial neoplasia(CIN)above grade 2(CIN2+)was higher than TCT,while its specificity was lower than TCT,with statistically sig-nificant differences(P<0. 05). Combined parallel test of HPV E6/E7 mRNA and TCT had good screening effect,the sensitivity and specificity of which were 87. 8%[95%CI(73. 8%,95. 9%)]and 79. 0%[95%CI(72. 2%,84. 8%)],respectively. Conclu-sion The combined detection of TCT and HPV E6/E7 mRNA can improve the sensitivity and specificity of screening for cervical lesions,and has a good clinical value for the prevention and treatment of cervical lesions.关键词
人乳头状瘤病毒/子宫颈上皮内瘤变/HPVE6/E7 mRNAKey words
human papillomavirus/cervical intraepithelial neoplasia/HPV e6/e7 mrna分类
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涂媛,陈琼,石海鹏,李芬,李钒,何林,章培..人乳头瘤病毒E6/E7 mRNA在宫颈疾病筛查中的临床价值[J].四川医学,2017,38(2):178-181,4.