摘要
目的:了解农村适龄妇女免费宫颈癌筛查现状及无症状宫颈癌的发病率,探索适合基层妇女宫颈癌免费筛查服务模式和优化方案,建立宫颈癌防治体系与长效机制。方法:选取2021年7月-2021年11月于五河县5950例农村适龄妇女免费宫颈癌筛查的相关资料进行分析,所有体检女性均接受常规妇科检查及液基薄层细胞学检测(TCT),检出TCT高危宫颈癌女性接受阴道镜检查及宫颈组织病理学检查,以宫颈组织病理学为金标准分析五河县农村适龄妇女宫颈癌发病率,探讨影响宫颈癌发病的相关因素。结果:TCT初筛异常者337例,异常率为5.66%,包括ASC-US201例(3.38%)、ASC-H36例(0.61%)、LSIL57例(0.96%)、HSIL43例(5.66%)及SCC 0例(0.00%);220例患者进行组织病理学检查,显示:CIN1级28例(检出率47.06例/万),CIN2级和CIN3级共35例(检出率58.82例/万),宫颈癌5例(检出率8.4例/万);各年龄段宫颈癌检出率无显著统计学差异(P=0.628)。结论:农村妇女免费宫颈癌筛查有利于早期发现宫颈癌及分布情况,优化防治方案促进农村妇女健康。
Objective:To understand the current situation of free cervical cancer screening for rural women in Wuhe City and the incidence of asymptomatic cervical cancer,explore the service model and optimization scheme suitable for grassroots women's cervical cancer free screening,and establish the prevention and treatment system and long-term mechanism of cervical cancer.Methods:A total of 5950 rural women were selected between July 2021 and November 2021 for free cervical cancer screening at the Maternal and Child Health and family Planning Service Center of Wuhe City.All of them underwent routine gynecological examination and liquid-based thin layer cytological examination(TCT).Colposcopy and cervical histopathology were performed on women at high risk of cervical cancer detected by TCT.Finally,cervical histopathology was used as the gold standard to analyze the incidence of cervical cancer in rural women of the right age in Wuhe City,and to explore the related factors affecting the incidence of cervical cancer.Results:There were 337 cases with abnormal TCT screening,the abnormal rate was 5.66%,including 201 cases of ASC-US(3.38%),36 cases of ASC-H(0.61%),57 cases of LSIL(0.96%),HSIL 43 cases(5.66%)and 0 cases of SCC(0.00%).Histopathological examination of 220 patients showed 28 cases of CIN1(detection rate 4706 cases per 10,000),35 cases of CIN2 and CIN3(detection rate 58.82 cases per 10,000),and 5 cases of cervical cancer(detection rate 8.4 cases per 10,000).There was no statistically significant difference in the detection rate of cervical cancer by age group.Conclusion:Free cervical cancer screening for rural women in Wuhe County is beneficial to the early detection of cervical cancer and promote the health of rural women.
作者
邓翠兰
DENG Cui-lan(Wuhe County Maternal and Child Health and Family Planning Service Center,Bengbu 233300,Anhui)
出处
《安徽医专学报》
2023年第2期16-18,共3页
Journal of Anhui Medical College
