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    叶酸受体介导靶向肿瘤检测技术用于宫颈癌快速筛查的临床应用研究

    The clinical application of folic acid receptor-mediated diagnosis

    • 摘要: 目的:探究叶酸受体介导靶向肿瘤检测技术(FRD)在宫颈癌筛查中的临床应用价值。方法:随机选取2015年1月到2016年6月妇科门诊患者共3358人,分为两组:(1)叶酸受体介导靶向肿瘤检测技术(FRD)组2105人,(2)液基薄层细胞技术(TCT)组1253人,以FRD/TCT检测结果异常者行阴道镜检查并取活检,于FRD/TCT检测无异常人群中随机抽取10%作为阴性对照并做阴道镜评估,以病理诊断为金标准评价FRD在宫颈癌筛查中的价值。结果:FRD检测阳性者为234例, FRD检出率为11.12% ;TCT检测阳性者为162例,TCT检出率为12.93%;以CIN II为病理阳性分界,FRD组活检病例共422例,FRD敏感性为82.8%;TCT组活检病例271例,TCT敏感性为76.00%,两种检测方法所得数据比较差异均无统计学意义(P>0.05),FRD组有较高的敏感性。结论:叶酸受体介导靶向肿瘤检测技术(FRD)是一种简单的宫颈染色技术,操作简单,诊断时效高。有良好的检测敏感性,适合推广应用。

       

      Abstract: Objective: To investigate the clinical application of folic acid receptor-mediated targeted tumor detection techniques for cervical cancer screening. Methods: Randomly selected the patients?in department of gynaecology total of 3358 people from January 2015 to June 2016, divided into two groups: (1) the FRD group is 2105 people (2) the TCT group is 1253 people, The colposcope is examined and biopsies are performed in FRD/TCT testing results after positive/TCT ASCUS, Randomly 10% negative populatio in the FRD/TCT group as a negative control and do the colposcope evaluation, evaluation FRD with pathological diagnosis as the gold standard in the diagnosis of cervical lesion screening.Results: Results: FRD test was abnormal in 234, FRD detection rate was 11.12%, TCT examination was abnormal in 162, TCT detection rate was 12.93%;In CIN II for pathological positive boundary, FRD biopsy cases a total of 422 cases of group,FRD sensitivity was 82.8%, TCT biopsy cases a total of 271 cases of group, TCT sensitivity was 76.00%, there is no significient in two groups(P>0.05).But higher sensitivity in FRD groups. Conclusion: Folate receptor targeting tumor detection technique (FRD) is a simple cervical staining technique with simple operation, high diagnostic and shorten time. With good detection sensitivity. It is suitable for popularization and application

       

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