Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của phụ nữ đến khám phụ khoa có xét nghiệm HPV và tế bào học cổ tử cung bất thường tại Bệnh viện Phụ sản Hà Nội

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with abnormal HPV tests and cervical cytology tests at Hanoi Obstetrics and Gynecology Hospital. Subject and method: This study recruited 1700 women already having sexual intercourse. Participants had inteviews, gynecological examination and cervical cancer screenings including Human Papilloma virus test and cervical cytology test at Hanoi Obstetrics and Gynecology Hospital from 10/2016 to 07/2017. Result: 199 patients had abnormal HPV tests and cervical cytology tests (12%). Of these patients, 33.67% had normal gynecological examination, 30.66% had vaginitis or vulvitis, 28.14% had cervical ectropion, 5.03% had cervical polyps, 5.03% had vaginal warts, 1.01% had cervical ulcer. About cervical cytology test, normal specimens accounted for 30.15%, LSIL was 63.23%, HSIL was 5.53%, carcinoma was 1.01%. HPV test resulted in negative at 47.24%, type 16 at 9.55%, type 18 at 2.01%, 12 other types at 3.67% and multitype infection at 6.54%. Conclusion: Women having abnormal HPV test and cervical cytology test at Hanoi Obstetrics and Gynecology Hospital clinically had vaginitis or vulvitis, cervical ectropion, vaginal warts, cervical polyps and cervical ulcer. Cervical cytology test showed LSIL, HSIL and carcinoma. HPV test resulted in type 16, 18, 12 other types and multitype.