宫颈癌机会性筛查的应用.docVIP

精品论文 参考文献 宫颈癌机会性筛查的应用 （贵州省铜仁市妇幼保健院；贵州铜仁554300） [摘要]目的：探讨宫颈癌机会性筛查的应用及意义,促进女性生殖健康。方法:选取我院2014年1月－2015年1月在铜仁市妇幼保健院妇科门诊就诊的患者行机会性筛查,通过液基细胞学（TCT）筛查非孕妇女、宫颈感染HPV检测，筛查结果异常的阳性者做阴道镜检查，活检组织病理学诊断为最终诊断标准，评价机会性筛查用于宫颈癌早诊的意义。结果：3873例患者中大部分患者不了解宫颈癌相关知识，检出细胞学阳性566例，阳性检出率14.61%，其中288例行高危HPV检测，感染率46.18%（133／288），244例行阴道镜+活检或ECC，活检或ECC病理结果为：炎症126例，CINⅠ65例，CINⅡ－Ⅲ 46例， SCC 7例。2011年—2012年宫颈病变检出率与2014年—2015年比较差异有统计学意义（P ＜0.05 ）。结论：通过机会性筛查相关干预措施有助于提高患者对宫颈癌的认知程度，是全面防治宫颈癌的重要内容；机会性筛查效果好，能够早期发现宫颈病变，是行之有效的宫颈癌筛查方法，值得推广应用。 [关键词] 宫颈肿瘤；机会性筛查；液基细胞学检查；人乳头瘤病毒。 The Application of Opportunistic Screening for Cervical Cancer. Lu Chenglin,,Maternal and Child Care Service Centre, Tongren, Guizhou.（554300） [Abstract] Objective: Discuss the application and significance of opportunistic screening for Cervical Cancer, Promoting womens reproductive health. Methods: In our hospital from January 2014 January 2015 gynecology clinic in Tongren maternal and child health hospital for patients with opportunistic screening By liquid based cytology (TCT) screening of non pregnant women, cervical infection HPV testing, screening results of abnormal positive for the test. Evaluation of opportunistic screening for early diagnosis of cervical carcinoma, Diagnostic criteria for the final diagnosis of biopsy. Result: In 3873 patients, most of the patients did not understand the knowledge of cervical cancer, and 566 cases were positive. Positive detection rate was 14.61%, In 288 cases of high risk HPV detection, The infection rate was 46.18% (133 / 288), 244 cases underwent vaginal biopsy or ECC, Check or ECC pathology results: Inflammation in 126 cases, 65 cases of CIN I and CIN II - III 46 cases, SCC 7 cases In 2012 and 2014, the detection rate of cervical lesions was statistically significant difference between 2015 and 2011 (P lt; 0.05). conclusion: Through the opportunistic screening interventions are helpful to improve the cognition of the patients of cervical cancer, is an important part of comprehensive