查詢結果分析
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題 名 | Clinical Evaluation of a New Model of Self-Obtained Method for the Assessment of Genital Human Papilloma Virus Infection in an Underserved Population=人類乳突狀病毒感染自採檢體檢測方法的臨床評估 |
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作 者 | 張基昌; 曾志仁; 劉瑋瑋; 洪上國; 宋永魁; 薛綏; 鮑家駒; | 書刊名 | 長庚醫學 |
卷 期 | 25:10 2002.10[民91.10] |
頁 次 | 頁664-671 |
分類號 | 417.2832 |
關鍵詞 | 子宮頸癌; 子宮頸上皮細胞變性; 抹片檢查; 人類乳突狀病毒; 人類乳突狀病毒檢測法; Cervical cancer; Cervical intraepithelial neoplasia; Papanicolau smear; Human papillomavirus; Hybrid capture; |
語 文 | 英文(English) |
中文摘要 | 背景:子宮頸癌為罹患癌症婦女致死原因的第二位,在開發中國家已建立許多篩檢機制,以期降低子宮頸癌的罹患率及致死率,並希震普及全婦女。如果子寄頸癌直到末期才被診斷,則死已必大大增加,可是有四個族群常常不大增加,可是有四個族群常常不易接受子宮頸癌篩檢,像行動不便者、臥病在床,年老者,或往在偏遠農村的婦女、或是連續三年都不做子宮頸抹片檢查等;我們設計了一套自採檢體檢測的方法,目的是評估可否用於篩檢這類族群的婦女,提早檢測出癌前期或癌,並比較由醫師取樣或病人自我取樣人類乳突狀病毒的結果作一分析。 方法:本計畫採前瞻性研究執行,從1997年9月到1999年9月取樣年?20歲到80歲共1194位婦女,先在家中自我收集檢體,並於3天內,將檢體送至婦產科門診並由醫師依一般懷序,在鴨嘴輔助下,再取一次檢體作人類乳突狀病毒去氧核醣核酸檢測,並用木棒或刷子再作一次抹片檢查,若懷疑有不正常抹片,則先以5%醋酸塗抹,再以陰道鏡檢查,我們對病人自我採集的檢體和醫師採集的檢體,作人乳突狀病毒去氧核醣核酸的檢測,並比較對子宮頸癌及癌前期的診斷作一分析。 結果:在1194位婦女中,有144位自我取樣的婦女,佔全收集婦女的12.1%,及155位醫師取樣的婦女佔全收集婦女的13%,其人類乳突狀病毒去氧核醣核酸檢驗呈陽性反應,在統計比較上說言,醫師取樣和病人自我取樣並無明顯差異,而在自我取樣方面,人類乳突狀病毒去氧核醣核酸檢驗敏感度為96.3%,高於抹片檢查的79.2%,而偽陰率則是人類乳突狀病毒去氧核醣核酸檢驗的3.7%,(2/53)及抹片檢查的20.8%(11/35)。藉由人類乳突狀病毒去氧核醣核酸檢驗自我檢測說診斷癌前期或癌者,有23位為子宮頸上皮細胞變性第I期,10位為第II期,16位第III期,及子宮頸癌有2位。 結論:本計畫結果顯示病人自採檢體或醫師採檢對人類乳突狀病毒檢測的可靠性相符,所以針對不易接受子宮頸癌篩檢的婦女,可由病人自我取樣再送入類乳突狀病毒檢驗,以期提早篩檢出子宮頸癌前期或癌,本方式對行動不便者、臥病在床、年老者、及住偏遠農村的婦女提供一方便的子宮頸高危險群篩檢的輔助方式。 |
英文摘要 | Backround: We designed a self-sampling method to collect exfoliated genital cells for human papilloma virus (HPV) detection. The aim was to assess whether it was suitable as an assistant tool for the early detection of cervical pre-cancer and cancer in a special category of the women who are not frequently screened for cervical cancer. Methods: We compared the results of HPV detection that were self-obtained and physician-obtained cervical swabs from the same patient that were analyzed using hybrid capture II assay. The diagnostic rate of cervical pre-cancer and cancer between self-obtained method and physician-obtained method were analyzed. Results: A total of 1194 women were prospectively registered from September 1997 through September 1999. among them, 144 (12.1%) of self-test samples and 155 (15%) of physician-obtained samples were oncogenetic associated-HPV positive. Statistically, no significant differences existed in the screening rate for cervical cancer using either the self-collected samples or the physician-obtained samples (p>.05). The sensitivity of cervical precancer or cancer detection using self-obtained HPV testing was higher (96.3%) as compared with the Pap smear (79.2%) (p<.02). Conclusion: The detection correlation of the HPV test between the self obtained method and physician-obtained method was 93%. Our results indicated that self-sampling was a reliable method for testing for HPV. The identification of HPV infection through the self-obtained method can be used in early identification of high-risk women with cervical precancer and cancer especially in underserved populations. |
本系統中英文摘要資訊取自各篇刊載內容。