摘要
目的对青岛市崂山区辖区内8 000名年龄为35～59岁农村户籍妇女宫颈癌筛查情况进行分析。方法采用液基细胞学检测系统(LCT-超柏),将LCT异常分为意义不明的非典型鳞状上皮(ASC-US)、不能排除高度鳞状上皮内病变(HSIL)的非典型鳞状上皮(ASC-H)、低度鳞状上皮内病变(LSIL)、HSIL和腺上皮异常。对ASC-US复查后仍异常及ASC-US以上病人均进行宫颈活检术。结果 8 000名受检者中LCT异常者共121例,其中ASC-US者9例,ASC-H者5例,LSIL者57例,HSIL者45例,非典型腺细胞4例,腺癌1例。121例活检结果异常者共62例,其中轻度不典型增生(CINⅠ)17例,中度不典型增生(CINⅡ)14例,重度不典型增生(CINⅢ)23例,原位癌(CIS)5例,宫颈早期浸润癌3例。上述CINⅡ及以上异常占活检总数的37.19%,患病率为5.62‰。结论采用宫颈液基细胞涂片结合活检进行宫颈癌筛查确诊率较高,青岛市崂山区35～59岁农村户籍妇女宫颈CINⅡ及以上异常患病率为5.62‰。
Objective To analyze information regarding screening of cervical cancer in 8 000 rural women, aged 35--59, in Laoshan district of Qingdao. Methods Using liquid based cytology test （I.CT）, samples with abnormal findings were divided into ASG S, ASC H, LSIL, HSIL. A biopsy was carried out for those with ASC-US positive after recheck and those with LCT 〉ASC-US. Results Among 8 000 investigated, abnormal LCT was recorded in 121, of whom, nine were ASC-US, five were ASC H,57 were I.SIL,45 were HSIL, one was adenocarcinoma and four were atypical glandular cell （AGC）. The report of biopsy done in 121 women was that 62 cases were abnormal, of the total, 17 were CIN I , 14 CIN H , 23 CINIII , five C1S and three early invasive carcinoma. The CIN H and above accounted for 37. 19% of the total abnormal biopsy, the prevalence being 5. 62X0. Conclusion Liquid based cytology technique combined with biopsy can get a higher rate of diagnosis in screening cervical carcino- ma. The prevalence of CINII and above of women aged 35 59 was 5.62%, in Laoshan district of Qingdao.
出处
《齐鲁医学杂志》
2013年第1期28-29,32,共3页
Medical Journal of Qilu
关键词
宫颈肿瘤
癌前状态
普查
农村人口
青岛
uterine cervical neoplasms
precancerous conditions
mass screening
rural population
Qingdao
