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題 名 | Diagnosis of Human Papillomavirus Infection by Abnormal Cervical Cytology is Highly Reproducible after Vaginal Douching |
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作 者 | Chen, Fang-chun; Shaw, Sheng-wen; Cheng, Po-jen; Hsueh, Swei; Lin, Cheng-tao; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 47:4 2008.12[民97.12] |
頁 次 | 頁412-416 |
分類號 | 417.2832 |
關鍵詞 | Human papillomavirus; Papanicolaou smear; Vaginal douche; |
語 文 | 英文(English) |
英文摘要 | Objective: To evaluate whether human papillomavirus (HPV) activity in symptomatic patients with abnormal Papanicolaou smears (minimal abnormal cytology) was affected by a complete vaginal douche, applied to the cervix prior to colposcopic examination. Materials and Methods: A total of 132 women with abnormal Papanicolaou smears were prospectively registered in this study from 1999 to 2004. Two specimens were collected from each patient; one before and one after the cervix was swabbed with a complete vaginal douche during a colposcopic examination. We compared the HPV detection results before and after douching in the same patients. The samples were analyzed using the Hybrid Capture Ⅱ assay. Results: Before douching, 57.6% (76/132) of the samples were HPV-positive, compared with 58.3% (77/132) of the samples after douching. There was a strong correlation between the cervical HPV detection rates between the before and after douche samples (p<0.001). The kappa statistic was 0.891 for the correlation (positive-positive, negative-negative) and the discrepancy (positive-negative) between the inter-douche rates of HPV activity. A comparison of the HPV assay before and after vaginal douching demonstrated a statistically significant relationship (p<0.001). The sensitivity of the HPV test after douching was higher (97.8%) than that before douching (95.6%). The false-negative rate before douching in women with inflammatory smears was 3% (4/132) and the false-positive rate before douching in women with atypical squamous cells of undetermined significance was 2.1% (3/132). Conclusion: Our results indicate that self-administration of a vaginal douche is not a reliable method of eradicating HPV infection. |
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