摘要
目的：分析2012-2015年高平市13297例农村妇女宫颈癌筛查结果，探讨更适合农村妇女的宫颈癌检查方式。方法根据《山西省农村妇女宫颈癌检查项目实施方案》，结合高平市实际情况，对高平市13297名农村已婚妇女进行妇科检查、阴道和宫颈分泌物涂片检查、宫颈脱落细胞学检查（ TCT），对妇科检查异常和宫颈脱落细胞学检查异常者行阴道镜检查，阴道镜检查异常者行宫颈组织病理学检查。结果共检查出生殖道感染6965例，患病率为52．38％，其中检出宫颈炎4968例（37．36％），滴虫性阴道炎849例（6.38％），假丝酵母菌性阴道炎988例（7．43％），细菌性阴道病1364例（10．26％），盆腔炎1348例（10.14％）。宫颈脱落细胞学检查非典型鳞状细胞（ASC-US）及以上病例418例（3．14％），ASC-US检查率为1．78％，ASC-H检查率为0．28％，轻度鳞状上皮内病变（LSIL）检查率为0．60％，重度鳞状上皮内病变（HSIL）检查率为0．47％。检出宫颈癌前病变和宫颈癌例，其中宫颈上皮内瘤变（CIN）81例，发病率为609．16／10万， CINⅡ29例，发病率为218．09／10万，CINⅢ16例，发病率为120．33／10万，癌前病变检出率为338．42／10万；宫颈原位癌1例，宫颈浸润癌9例，宫颈癌检出率为75．20／10万。结论宫颈癌筛查有助于提高农村妇女宫颈癌早期检出率，保障妇女的生殖健康。在开展普查的同时，大力宣传保健知识也十分重要。
Objective To analyze the results of cervical cancer screening in 13 297 rural women in Gaoping during 2012 - 2015, and to explore more suitable way for rural women in the examination of cervical cancer. Methods According to the ＂Shanxi province rural women cervical cancer check project implementation plan＂, combined with the actual situation of Gaoping city,the gynecological examination of 13 297 married women in Gaoping city, vaginal and cervical secretions smear, cytology of cervical cytology （TCT）, to check the abnormal of the Department of Gynaecology and the abnormal cervical cytology, pathological examination of the cervix of the uterus with abnormal vaginal examination. Results A total of 6 965 cases of infection of the reproductive tract were examined, the prevalence rate was 52.38%. Among them,4 968 cases of cervicitis （37.36%） ,849 eases of trichomonas vaginitis （6.38%）, Candida albicans vaginitis in 988 cases （7.43 % ）, bacterial vaginal disease in 1 364 cases （ 10.26% ）, pelvic inflammatory disease in 1 348 cases （ 10. 14% ）. Cervical cytology examination of ASC - US and the above cases in 418 cases （3.14%） ,ASC - US examination rate was 1.78% ,the rate of ASC - H was 0.28% ,the rate of LSIL was 0.60% ,and the rate of HSIL was 0.47%. Detection of cervical precancerous lesions and cervical cancer cases,among them CIN I 81 cases, the incidence rate was 609.16/10 million, CIN II 29 cases,incidence rate was 218.09/10 million, 16 cases of CIN,incidenee rate was 120.33/10 million. The detection rate of precancerous lesions was 338.42/10 million. Cervical carcinoma in situ：l case ,9 cases of invasive cervical cancer, the detection rate of cervical cancer was 75. 20/10 million. Conclusion Cervical cancer screening is helpful to improve the early detection rate of cervical cancer in rural women, safeguarding women＇s reproductive health. At the same time to carry out the census, vigorously promote health knowledge is also very important.
出处
《中国基层医药》
CAS
2016年第7期1052-1055,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
子宫肿瘤
子宫颈
癌前状态
筛查
Uterine neoplasms
Cervix uteri
Precancerous conditious
Screening
