Abstract:ObjectiveTo evaluate the application value of highrisk human papillomavirus (HRHPV) DNA detection and ThinPrep liquidbased cytology testing(TCT)in cervical disease screening. MethodsCervical specimens of women with cervical lesions in a hospital between October 2012 and December 2013 were taken and performed human papillomavirus DNA genotyping (HPV DNA) and ThinPrep liquidbased cytology testing(TCT). Positive patients were performed colposcopy pathological detection. HPV DNA positive rates among different TCT groups, and different cervical lesion groups were compared, the sensitivity and specificity of TCT and HPV DNA detection, as well as differences between separate and joint detection were also compared. ResultsThe positive rate of HPV DNA was 28.07% (1 045/3 723), most were HRHPV (21.57%, n=803), the major HRHPV genotypes were HPV 16,58,52,and 18 type. HRHPV positive rates were statistically different among different age groups(χ2=31.74,P<0.001) , positive rate was highest in 20-30 year old age group . Positive rate of TCT was 13.46% (n=501), a total of 971 patients were performed pathological detection, 293 were positive. Patients were divided according to different TCT and different lesion type, χ2 testing of HRHPV DNA positive rate showed that positive rate of HRHPV had a increasing tendency with the increase in severity of diseases(all P<0.01). Pathological detection was as a gold standard , the sensitivity of HRHPV DNA and TCT was 90.44%(265/293) and 85.32%(250/293) respectively, the sensitivity of joint HRHPV DNA detection and TCT was 95.90%. In positive pathological group, the detection rate of TCT and HRHPV DNA was 85.32% and 90.44%, respectively, joint detection rate was 95.90%, the difference among three groups was significant (χ2=18.185,P<0.001). Joint detection rate was higher than separate detection rate of TCT or HPV DNA. ConclusionHPV DNA detection is a useful supplement for cervical cancer screening, HPV DNA detection combined with TCT can reduce the misdiagnosis rate.