HR-HPV DNA PCR检测技术在宫颈癌前病变筛查中的应用价值
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1.郑州凯普医学检验实验室有限公司分子实验室;2.项城市中医院

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Application value of HR-HPV DNA PCR detection in the screening of cervical intraepithelial neoplasia
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    摘要:

    目的:探讨高危型人乳头瘤病毒(High-Risk Human Papillomavirus, HR-HPV)脱氧核糖核酸(Deoxyribonucleic Acid, DNA)聚合酶链式反应(Polymerase Chain Reaction,PCR)检测技术在宫颈癌前病变(Cervical Intraepithelial Neoplasia,CIN)筛查中的应用价值。方法:回顾性选取2023年6月至2025年9月本实验室进行CIN筛查的98例女性患者作为研究对象,分别采取HR-HPV DNA PCR和超薄液基细胞学检查(Thinprep Cytologic Test,TCT)对宫颈脱落细胞进行检测,以组织病理检查结果为金标准,对比两种方法在CIN筛查中的灵敏度、特异度、准确度、漏诊率、误诊率、阳性预测值、阴性预测值。结果:组织病理检查结果显示,阳性32例,阴性66例。HR-HPV DNA PCR检测筛查CIN灵敏度为95.24%、准确度86.73%高于TCT检测50.00%和75.51%(P<0.05);HR-HPV DNA PCR阴性预测值98.48%高于TCT检测81.08%(P<0.05);HR-HPV DNA PCR漏诊率为4.76%低于TCT检测50.00%(P<0.05)。结论:TCT和HR-HPV DNA PCR两种检测方法在CIN筛查中具有良好的筛查价值,其中HR-HPV DNA PCR的筛查价值更高,值得临床进一步研究与应用。

    Abstract:

    Objective: To explore application value of high-risk human papillomavirus (HR-HPV) deoxyribonucleic acid (DNA) polymerase chain reaction (PCR) detection in the screening of cervical intraepithelial neoplasia (CIN). Methods: A total of 98 female patients undergoing CIN screening in the hospital were retrospectively enrolled as the research objects between June 2023 and September 2025. The cervical secretions were detected by HR-HPV DNA PCR and Thinprep cytologic test (TCT). Taking the results of histopathological examination as the golden standard, the sensitivity, specificity, accuracy, missed diagnosis rate, misdiagnosis rate, positive predictive value and negative predictive value of the two methods in CIN screening were compared. Results: The results of histopathological examination showed that there were 32 positive cases and 66 negative cases. The sensitivity and accuracy of HR-HPV DNA PCR for screening CIN were 95.24% and 86.73%, higher than those of TCT (50.00%, 75.51%, P<0.05). The negative predictive value of HR-HPV DNA PCR was higher than that of TCT (98.48% vs 81.08%, P<0.05). The missed diagnosis rate of HR-HPV DNA PCR was lower than that of TCT (4.76% vs 50.00%, P<0.05). Conclusion: Both TCT and HR-HPV DNA PCR have good screening value in CIN. HR-HPV DNA PCR has higher screening value and is worthy of further clinical research and application.

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刘柯君,刘顺. HR-HPV DNA PCR检测技术在宫颈癌前病变筛查中的应用价值[J].四川生理科学杂志,2026,48(8):

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  • 收稿日期:2026-01-21
  • 最后修改日期:2026-02-04
  • 录用日期:2026-02-24
  • 在线发布日期: 2026-08-15
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