• 作者：Virginia Sanz Garcí ; a ; ^{virsg84@hotmail.com} ; Mailen Rey Zaila ; Ana Isabel Gó ; mez Calvo ; Juan Ignacio Bermejo Aycart ; Fernando Izquierdo Gonzá ; lez
• 关键词：Cribado cá ; ncer de cé ; rvix ; Test del virus de papiloma humano ; Citologí ; a cervical ; Displasia cervical ; Conizaci&oacute ; n
• 刊名：Progresos de Obstetricia y Ginecolog¨ªa
• 出版年：2012
• 出版时间：November, 2012
• 年：2012
• 卷：55
• 期：9
• 页码：435-440
• 全文大小：446 K

Objective

To assess epidemiological, diagnostic and therapeutic changes in the province of Segovia since the introduction of techniques for the detection of human papillomavirus (HPV) DNA in cervical cancer screening in women aged more than 30 years in primary care in January 2009.

Material and methods

We carried out an observational retrospective study of conization procedures undertaken from January 2007 to December 2010. Eighty-six patients were included: 40 women who underwent conization from 2007-2008 and 46 who underwent the procedure from 2009-2010.

Results

The number of conization procedures showed no significant change but the number of high-grade lesions found in cytology (P=.017) and postsurgical histological analysis (P=.047) increased. The positive predictive value (PPV) of screening for high-grade lesions showed a nonsignificant increase (P=.059).

Conclusions

The PPV of cervical cancer screening increased in our province with the HPV test, without increasing the number of conization procedures.