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高危型HPV检测在预测宫颈上皮内瘤变锥切后残存病变或复发中的意义
引用本文:蒋学锋,杨洁,阚淳一,张逸群,叶双梅,夏曦,李科珍,卢运萍,马丁.高危型HPV检测在预测宫颈上皮内瘤变锥切后残存病变或复发中的意义[J].中国妇幼保健,2010,25(6).
作者姓名:蒋学锋  杨洁  阚淳一  张逸群  叶双梅  夏曦  李科珍  卢运萍  马丁
作者单位:华中科技大学同济医学院附属同济医院肿瘤生物医学中心,湖北武汉,430030
基金项目:国家重大“973”计划项目〔2009CB521808〕
摘    要:目的:评价高危型HPV(HR-HPV)检测在预测宫颈上皮内瘤变宫颈锥切术后残存病变或复发中的意义。方法:收集2004年4月1日~2009年5月30日武汉同济医院妇产科因宫颈上皮内瘤变行二次手术治疗的44例病人的临床资料进行回顾性研究,所有病人均于首次宫颈手术前6个月内进行了HR-HPV检查。结果:Logistic回归模型分析显示,患者年龄、产次、锥切方法、腺体是否累及和CIN病变程度与宫颈锥切后病人是否发生残存病变或复发无关,而HR-HPV测量值(RLU/PC)≥500是宫颈锥切术后发生残存病变或复发的高危因素。结论:HR-HPV检测是一种有效地预测宫颈锥切术后残存病变发生或复发的方法,对子宫颈疾病的诊疗具有重要的意义。

关 键 词:HR-HPV检测  宫颈上皮内瘤变  宫颈锥切  残存病变  复发

Significance of high risk HPV detection in predicting residual disease or recurrence after cervical conization for cervical intraepithelial neoplasia
JIANG Xue-Feng,YANG Jie,KAN Chun-Yi et al.Medical Center of Cancer Biology,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science , Technology,Wuhan ,Hubei,China.Significance of high risk HPV detection in predicting residual disease or recurrence after cervical conization for cervical intraepithelial neoplasia[J].Maternal and Child Health Care of China,2010,25(6).
Authors:JIANG Xue-Feng  YANG Jie  KAN Chun-Yi Medical Center of Cancer Biology  Tongji Hospital Affiliated to Tongji Medical College  Huazhong University of Science  Technology  Wuhan  Hubei  China
Affiliation:JIANG Xue-Feng,YANG Jie,KAN Chun-Yi et al.Medical Center of Cancer Biology,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030,Hubei,China
Abstract:Objective:To evaluate the significance of high risk HPV(HR-HPV) detection in predicting residual disease or recurrence after cervical conization for cervical intraepithelial neoplasia(CIN).Methods:Clinical data of 44 patients undergoing second operation of CIN from April 1,2004 to May 30,2009 were analyzed retrospectively,and all the patients accepted HR-HPV detection within six months before first operation.Results:Logistic regressive model analysis showed that there was no correlation between age,times of...
Keywords:High risk HPV detection  Cervical intraepithelial neoplasia  Cervical conization  Residual disease  Recurrence  
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