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目的了解漯河市农村妇女宫颈癌前病变及宫颈癌的发病情况。方法应用液基细胞学检查技术并结合TBS分级系统,采用随机原则于2012年3月-6月对该市20个农村6 007例妇女进行免费宫颈癌筛查,在HPV分流下对ASC及其以上病变行阴道镜检查,取病理学活检并做相应处理。结果共筛查6 007人,合格标本5 919例,异常439(7.42%)例,44~47岁组妇女患病率高。其中ASC:288例(4.87%),LSIL:96例(1.62%),HSIL:51例(0.86%),SCC:4例(0.07%);根据HPV结果,对310例患者进行阴道镜及组织病理活检。结果发现正常或炎症163例(58.58%),CINⅠ55例(17.74%),CINⅡ28例(9.32%),CINⅢ59例(19.03%),浸润癌5例(1.61%)。结论农村妇女是宫颈癌发病的高危人群,各级部门应重视农村妇女宫颈癌筛查工作。
Objective To understand the incidence of cervical precancerous lesions and cervical cancer in rural women in Luohe City. Methods Using liquid-based cytology and TBS grading system, we randomly selected 6 007 women in 20 rural areas from March to June in 2012 for cervical cancer screening. Colorectal lesions over the line examination, pathological biopsy and do the appropriate treatment. Results A total of 6 007 were screened, with 5 919 qualified samples and 439 (7.42%) abnormal cases. The prevalence rate of women in the 44-47 age group was high. Among them ASC was 288 cases (4.87%), LSIL 96 cases (1.62%), HSIL 51 cases (0.86%) and SCC 4 cases (0.07%). According to the results of HPV, colposcopy and tissue Biopsy. The results showed that 163 cases (58.58%) had normal or inflammation, 55 cases (17.74%) of CINⅠ, 28 cases (9.32%) of CINⅡ, 59 cases (19.03%) of CINⅢ and 5 cases (1.61%) of invasive carcinoma. Conclusion Rural women are at high risk of cervical cancer, and all departments should pay attention to the screening of cervical cancer in rural women.