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[BioPerfectus多重实时HPV检测在宫颈癌筛查自取样中的价值]

[Value of the BioPerfectus multiplex real time HPV assay for self-collected samples cervical cancer screening].

作者信息

Chen Q, Du H, Wang C, Hu Q C, Wu R F

机构信息

Department of Obstetrics and Gynecology, Shenzhen Key Laboratory of Gynecological Diagnostic Technology Research, Peking University Shenzhen Hospital, Shenzhen 518036, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2019 May 25;54(5):307-311. doi: 10.3760/cma.j.issn.0529-567x.2019.05.004.

Abstract

To evaluate the feasibility of the BioPerfectus multiplex real time (BMRT) HPV assay for self-sample cervical cancer screening. Eight hundreds and thirty-nine self-collected and physician-obtained DNA samples from the Shenzhen cervical cancer screening trial Ⅳ(SHENCCAST-Ⅳ) study collected samples for cervical cancer screening during June 2013 to September 2014 were detected by BMRT HPV assay to evaluate the screening efficacy. A total of the 839 women who were screened, 804 with complete BMRT HPV data was included in the study, and average age was (46±7) years. Of the 804 women, the positive rates of 14 high-risk HPV genotypes (including HPV 16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66 subtype) of self-sample and physician-obtained samples were 12.2% (98/804) and 12.8% (103/804), respectively (χ(2)=0.14, =0.71). Self-collected samples with HPV-positive had significantly more cells (median 19 901.0) than physician-obtained samples (median 1 778.4), and there was statistically significant difference (=-7.61, <0.01). The degree of agreement between self-sample and physician-obtained samples of HPV 16, HPV 18 and other 12 high risk HPV genotype was 99.8%, 100.0% and 96.1%, respectively. And the consistent Kappa value was 0.95, 1.00 and 0.81, respectively. Of 804 samples, there were 6 cervical intraepithelial neoplasia (CIN)Ⅱ(+) cases. There were no missed CINⅡ(+) cases by BMRT HPV assay. BMRT HPV assay is feasible for self-sample cervical cancer screening.

摘要

评估博晖创新多重实时(BMRT)HPV检测用于自我采样宫颈癌筛查的可行性。对2013年6月至2014年9月期间在深圳宫颈癌筛查试验Ⅳ(SHENCCAST-Ⅳ)研究中收集的839份自我采集和医生采集的用于宫颈癌筛查的DNA样本,采用BMRT HPV检测进行检测,以评估筛查效果。在总共839名接受筛查的女性中,804名有完整的BMRT HPV数据被纳入研究,平均年龄为(46±7)岁。在这804名女性中,自我采样和医生采集样本中14种高危HPV基因型(包括HPV 16、18、31、33、35、39、45、51、52、53、56、58、59、66亚型)的阳性率分别为12.2%(98/804)和12.8%(103/804)(χ(2)=0.14,P=0.71)。HPV阳性的自我采集样本中的细胞数量(中位数19 901.0)显著多于医生采集的样本(中位数1 778.4),差异有统计学意义(Z=-7.61,P<0.01)。HPV 16、HPV 18和其他12种高危HPV基因型的自我采样和医生采集样本之间的一致性程度分别为99.8%、100.0%和96.1%。一致性Kappa值分别为0.95、1.00和0.81。在804份样本中,有6例宫颈上皮内瘤变(CIN)Ⅱ(+)病例。BMRT HPV检测未漏诊CINⅡ(+)病例。BMRT HPV检测用于自我采样宫颈癌筛查是可行的。

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