江苏震泽地区农村妇女宫颈癌普查5807例宫颈刮片细胞学研究.docVIP

江苏震泽地区农村妇女宫颈癌普查5807例宫颈刮片细胞学研究[摘要] 目的 通过江苏震泽农村妇女宫颈刮片细胞学检查，了解该地区妇女宫颈疾病情况。方法 选择2010年3～11月江苏震泽地区农村妇女5807例行宫颈刮片检查。采用巴氏涂片细胞学检查法、TBS分级报告。对结果阳性患者，行阴道镜检查，并取病变组织活检，经组织病理学确诊。结果 5807例受检妇女中，巴氏涂片阳性率为1.24%（72/5807），宫颈癌检出率为0（0/5807）。其中49例细胞学检查结果阳性的妇女组织病理活检，癌前病变检出率（病理学诊断为≥CINⅠ者）40例（40/49），与涂片结果相比，其符合率为：ASC 73.53% （25/34），LSIL 100% （8/8），HSIL 100%（7/7）。结论 宫颈刮片细胞学检查方法简单、经济，临床指导意义大，适用于宫颈癌防癌普查及基层医院检查。 [关键词]宫颈刮片；巴氏染色；TBS分级报告；宫颈病变；普查 [中图分类号] R446.8 [文献标识码] B [文章编号] 1673-9701（2011）22-07-02 Cytological Analysis of Cervical Smears in 5807 Rural Women in Zhenze of Jiangsu Province LI Yufei BAO Fang XIANG Ying DAI Yilong ZHANG Zhihong Department of Pathology，Jiangsu Shengze Hospital，Shengze Branch of Jiangsu Province Peoples Hospital，Wujiang 215228，China [Abstract] Objective To investigate the situation of womens cervical disease by cervical cancer screening in Zhenze of Jiangsu Province. Methods A total of 5807 rural women were examined between March to November in 2010. Conventional smear and TBS grading report were applied. The women with positive cytological results were then examined by electronic colposcope（ES） and finally diagnosed by histopathology. Results A total of 1.24% cases were positive in cytological analysis and none was cervical cancer. 49 women did biopsy and 40 cases among them suffered precancerous lesions （The diagnosis is CINⅠ，Ⅱor Ⅲ）. Compared with the result of cytology， the accuracy rate of ASC is 73.53%（25/34），LSIL is 100%（8/8） and HSIL is 100%（7/7）. Conclusion Cervical smear is a simple，practical and economical method which has great clinical value，especially in cervical cancer-screening investigation and primary hospitals. [Key words] Cervical smear；Pap staining；TBS grading system；Cervical lesions； Cervical cancer screening 宫颈癌是危害妇女健康的主要恶性肿瘤之一，我国宫颈癌的发病率和病死率约占全世界的1/3[1]。降低宫颈癌发病率及死亡率的关键在于定期防癌普查。为帮助中国农村妇女摆脱妇科疾病的痛苦，中国初级卫生保健基金会和中华社会救助基金会联手主办宫颈癌普查工作，2010年3～11月对江苏震泽地区农村妇女进行两癌筛查，以利于早期发现宫颈癌及其癌前病变，使患者得到及时救治。 1 资料与方法 1.1 一般资料 收集2010年3～11月江苏震泽地区