1734名农村妇女宫颈癌筛查的的结果分析.docVIP

1734名农村妇女宫颈癌筛查的的结果分析 　　[摘要] 目的 调查珠海市农村妇女罹患宫颈癌和妇科疾病的现状，为珠海市宫颈癌的筛查提供依据。 方法 收集2014年6～12月间参与珠海市已婚农村妇女宫颈癌筛查的1734名女性的资料。采用宫颈液基细胞技术（LCT）行宫颈细胞涂片筛查宫颈癌，同时对所有参检者行妇科常规检查，包括白带常规和经腹的妇科B超检查，并对LCT检查阳性者行阴道镜下组织活检。 结果 妇科常规检查1734例，检出的良性疾病中阴道炎178例，宫颈炎416例，子宫肌瘤37例，患病率为分别为10.34%、23.99%和2.13%，各类疾病在不同年龄组间的分布比较，差异有统计学意义（P0.01）。宫颈细胞学检查异常者23例，其中未明确的不典型鳞状皮细胞（ASC-US）10例，检出率为0.58%；不能排除高度鳞状上皮内病变的不典型鳞状上皮细胞（ASC-H）2例，检出率为0.12%；低度鳞状上皮内病变（LSIL）5例，检出率为0.29%；高度鳞状上皮内病变（HSIL）6例，检出率为0.35%，各种类型的LCT异常的检出率比较，差异无统计学意义（P=0.684）。宫颈细胞学检查异常者行阴道镜下活检后发现，ASC-H的病理符合率最高，为100.0%，HSIL的符合率为66.7%，差异有统计学意义（P=0.008）。 结论 珠海市农村妇女各类妇科疾病在不同年龄组间的分布不同，LCT细胞学检查发现阳性者的病理符合率中，ASC-H的病理符合率最高。 　　[关键词] 宫颈癌筛查；液基细胞学检查；农村妇女 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2016）05（b）-0041-03 　　[Abstract] Objective To survey the present situation of women with cervical cancer and gynecological diseases in rural areas of Zhuhai，and to provide basis for screening cervical cancer in Zhuhai. Methods Data were collected from 1734 women who were involved in cervical cancer screening among married rural women in Zhuhai from June 2014 to December.LCT was used to conduct cervical smear method for cervical cancer screening.At the same，routine gynecological examination was conducted for all participation women，and leucorrhea routine and abdominal gynecological B ultrasound examinations were included.Biopsy under colposcope was used for LCT examination positive patients. Results Routine gynecological examination in 1734 cases，178 cases of vaginitis detected in benign disease，cervicitis was 416 cases，myoma of uterus was 37 cases，and the morbidity were respectively 10.34%，23.99% and 2.13%，and there were statistically significant differences in the distribution of all kinds of diseases in different age groups （P 　　[Key words] Cervical cancer screening；Thinprep cytology test；Rural women 　　宫颈癌是威胁女性健康的一种常见恶性肿瘤。我国宫颈癌发病率居女性恶性肿瘤第5位，农村略高于城市[1]，我国每年宫颈癌新发病例占全世界新发病例的1/4以上。宫颈癌早期没有明显的症状和体征，但通过检查可以有效发现病变。宫颈癌是可预防和治愈的，关键在于早期筛查宫颈癌前病变和早期诊治以阻断病程的发展。目前，已有充分的证据显示早期宫颈癌筛查可帮助早期诊