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目的通过此次筛查发现早期的宫颈癌及宫颈上皮内瘤变(CIN)。方法受检者均签署农村妇女“两癌”自愿免费检查知情同意书,并接受宫颈癌防治知识知晓率的调查评价。用宫颈刷采集受检者宫颈鳞柱交接部的脱落细胞保存于液基薄层试剂盒内,送检实验室。宫颈脱落细胞病理检查采用液基薄层细胞学检测技术(TCT),诊断报告采用TBS分类法。结果宫颈癌防治知识知晓率为4.32%,部分知晓率为61.23%,不知晓率为34.44%,知晓率与文化程度增高成正相关。宫颈细胞异常率为2.32%,55~64年龄组最高。与年龄的增长成正相关。阳性病例经进一步检查,确诊CINⅠ2例,CINⅢ1例,子宫颈原位癌1例。结论子宫颈癌筛查作为宫颈癌的二级预防依然重要,我国的宫颈癌筛查方案仍以宫颈细胞学检测为主。
Objective Through this screening found that early cervical cancer and cervical intraepithelial neoplasia (CIN). Methods All subjects signed the informed consent form for free voluntary examination of rural women and “two cancers” and accepted the investigation and evaluation on the awareness rate of cervical cancer prevention and treatment. Cervical brush collection with cervical exfoliated cervical squamous cell exfoliated cells stored in liquid-based thin-layer kit for submission to the laboratory. Cervical exfoliated cytopathology using liquid-based thin-layer cytology (TCT), diagnostic reporting using TBS classification. Results The awareness rate of prevention and treatment of cervical cancer was 4.32%, the partial awareness rate was 61.23% and the rate of unknowing was 34.44%. The awareness rate was positively correlated with the education level. Cervical cell abnormality rate was 2.32%, 55 ~ 64 age group was the highest. And age is positively related to the growth. Positive cases were further examined, confirmed CIN Ⅰ 2 cases, CIN Ⅲ cases, 1 case of cervical carcinoma in situ. Conclusion Cervical cancer screening is still important as secondary prevention of cervical cancer. Cervical cytology test is still the main method of cervical cancer screening in our country.