摘要
目的:调查南川地区妇女实施正规宫颈癌筛查的现状,通过调查研究提出一套科学、合理的针对南川偏远地区实施规范化宫颈癌筛查的管理模式。方法:抽查2011年5月～2011年8月我区12个乡镇卫生院对15000位妇女宫颈癌筛查情况,与我院自2011年8月～2012年5月对来院就诊的已婚妇女3397例宫颈癌筛查情况进行对比。乡镇卫生院主要筛查方式为宫颈刮片细胞检查、宫颈醋酸染色检查方法,筛查结果异常送至上级医院就诊。我院采用宫颈薄层液基细胞学检查、电子阴道镜、宫颈病理组织学检查,逐阶梯进行宫颈癌筛查.对339女中的1000例进行问卷调查及宫颈分泌物人乳头瘤病毒定量分型。结果:乡镇卫生院筛查宫颈癌前病变患病率为3.33‰,其中CIN1 24例,CIN2 15例,CI N3 5例,确诊为宫颈浸润癌6例。我院筛查结果:3397名妇女中,TCT结果异常者占8.12%(276/3397),电子阴道镜诊断宫颈上皮内瘤变(CIN)及以上占3.998%(146/3397)。对电子阴道镜筛查阳性进行宫颈病理组织学检查,宫颈癌前病变为1.71%(58/3397),其中CINI为4.12‰(14/3397),CINII为5.59‰(19/3397),CINIII为7.36‰(25/3397)宫颈鳞癌为4.42‰(15/3397)。结论:我院宫颈癌筛查阳性率远远大于乡镇卫生院筛查。为提高宫颈癌筛查率,可开展"乡镇卫生院进行TCT+上级医院实施电子阴道镜、宫颈活检+对乡镇卫生院宫颈癌筛查培训+建立妇女健康档案"的管理模式。
Objective To investigate the implementation of formal Nanchuan in the women of cervical cancer screening in the current situation, through investigation and study, put forward a scientific and reasonable in Nanchuan in remote areas of the implementation of standardized management model for cervical cancer screening. Methods In 2011May to 2011August selective examination of my area of 12 township hospitals in 15000women with cervical cancer screening, and in our hospital from 2011 August to 2012 May in our hospital for married women in 3397 cases of cervical cancer screening compared. Township health centers in primary screening for cervical scraping cells： check, cervical acetic acid staining methods, screening for abnormal results sent to the higher hospital. My courtyard uses： cervical ThinPrep liquid based cytology, colposcopy, cervical histopathological examination, each step of cervical cancer screening in339girls of 1000 cases were investigated and cervical human papilloma virus quantitative classification. Results The township hospital health screening cervical precancerous lesion prevalence rate was 3.33 ‰, of which CIN1：24, CINI1：15, CINII1：5, diagnosed with invasive cervical cancer6. My courtyard screening results：3397women, TCT results in abnormal accounted for 8.12% （276/3397）, electronic colposcopy in diagnosis of cervical intraepithelial neoplasia （CIN） and above accounted for 3.998% （146/3397）. On electronic colposcopy in screening positive for cervical histopathological examination, cervical precancerous lesions：1.71% （58/ 3397）, wherein CINI is4.12 ‰（14/3397）, CINII is 5.59‰（19/3397）, CINIII is 7.36%0（25/3397） in cervical squamous cell carcinoma was 4.42 ‰（15/3397）. Conclusion The positive rate of cervical cancer screening is far greater than the township hospital health screening. In order to improve cervical cancer screening rates, can carry out ＂the township hospital for TCT＋ superior hospital implementation of electronic colposcopy, ce
出处
《中国美容医学》
CAS
2012年第09X期155-157,共3页
Chinese Journal of Aesthetic Medicine
关键词
宫颈癌筛查
宫颈无明确意义的非典型鳞状上皮细胞
宫颈上皮内瘤变
人乳头瘤病毒感染
screening for cervical cancer
cervical clear significance of atypical squamous cells
cervical intraepithelial neoplasia
human papilloma virus infection
