| 郑凤仙,孙小伟,李彩红.河南省新密市2010~2013年农村女性宫颈癌筛查结果分析[J].中国肿瘤,2015,24(12):1007-1011. |
| 河南省新密市2010~2013年农村女性宫颈癌筛查结果分析 |
| The Results of Cervical Cancer Screening for Rural Women from 2010 to 2013 in Xinmi，Henan Province |
| 投稿时间：2015-02-09 |
| DOI：10.11735/j.issn.1004-0242.2015.12.A010 |
|
 |
| 中文关键词: 宫颈癌 筛查 检出率 农村 |
| 英文关键词:cervical cancer screening detection rate rural |
| 基金项目: |
|
| 摘要点击次数: 2107 |
| 全文下载次数: 785 |
| 中文摘要: |
| 摘 要：［目的］ 根据2010～2013年河南省新密市农村地区宫颈癌筛查数据，分析当地女性宫颈癌筛查的参与率，宫颈炎、宫颈癌前病变及宫颈癌的检出率，为当地制定宫颈癌筛查策略提供依据。［方法］ 2010～2013年对新密市35～64岁农村妇女进行宫颈癌筛查，绝经前女性使用醋酸/碘染色肉眼观察法（VIA/VILI）初筛，绝经后女性使用巴氏涂片法初筛。VIA/VILI异常及巴氏涂片结果≥ASC-US者召回行阴道镜检查，并对镜下检查异常处取活检。病理结果为金标准，CIN2及以上妇女转诊进行手术治疗。［结果］ 2010~2013年共筛查115 789名农村女性，总体顺应性为59.50%；VIA/VILI筛查84 762人，阳性率为20.0%；巴氏涂片筛查31 027人，阳性率为4.81%。13 914人进行阴道镜检查，取活检4438例(31.90%)。病理诊断宫颈炎症3830例(3.31%)，CIN1 126例(0.11%)，CIN2 125例(0.11%)，CIN3/原位癌204例(0.18%)，宫颈癌67例(0.06%)，另发现5例内膜癌(0.004%)、2例外阴癌(0.002%)。［结论］ 2010~2013年新密市CIN2+的整体检出水平较高。农村女性参加筛查的整体顺应性不高，VIA/VILI筛查的假阳性率高，应加强对基层医生技术水平的培训。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the participation rate，detection rate of cervical inflammation，cervical lesions and cervical cancer by screening (Using the data of cervical cancer screening in Xinmi from 2010 to 2013)，to provide evidence for cervical cancer screening strategies to the local government. ［Methods］ The premenopausal women aged 35~64 were screened by VIA/VILI，and postmenopausal women aged 35~64 were screened by Pap smear in 2010~2013. Colposcopy was conducted when visual inspection with acid/visual inspection with Lugol’s iodine（VIA/VILI） or Pap smear results were abnormal. Biopsies under colposcopy were taken if any abnormalities were found. Women needed surgery when pathological results were above CIN2. ［Results］ There were 115 789 rural women attended cervical cancer screening program from 2010 to 2013 and the participation rate was 59.50%. There were 84 762 women who received VIA/VILI screening，the positive rate was 20.0%；31027 women received Pap smear screening and the positive rate was 4.81%. The total number of women who accepted colposcopy was 13 914，among them 4438(31.90%) were biopsied. The result showed that there were 3830 cases (3.31%) of cervical inflammation，126 cases (0.11%)，CIN 1；125 cases (0.11%)，CIN 2；204 cases (0.18%)，CIN3 /carcinoma in situ；and 67 cases (0.06%)，cervical cancer. And 5 cases (0.004%) of endometrial carcinoma and 2(0.002%) cases of vulvar cancer were found. ［Conclusion］ The detection rate of CIN2+ is high (0.34%)，but the participation rate still low based on the results in Xinmi from 2010 to 2013. The false positive rate of VIA/VILI is high，local doctors should strengthen training and improve their technical level. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|