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目的分析就诊者宫颈癌机会性筛查的接受性及效果,为将其作为门诊检查常规提供依据。方法对天津市滨海新区汉沽妇女儿童保健中心妇保门诊2014年1-6月1078例妇女采用各种方法进行个体化的宫颈癌机会性筛查。结果机会性筛查率83.9%(1078/1285),筛查阳性率9.7%(101/1078)。其中细胞学筛查阳性率7.8%(77/984),高度以上病变率1.1%(11/984),高危HPV-DNA检测阳性率19.8%(31/163),细胞学联合HPV-DNA筛查双阳率10.1%(7/69),检出宫颈癌6例,检出率0.5%,其中宫颈鳞状细胞癌3例、腺癌2例、CIN2累腺1例,高于同期妇女病普查宫颈癌检出率(0.016%)。结论机会性筛查是可被就诊女性广泛接受的宫颈癌筛查模式,机会性筛查宫颈癌的检出率高于组织性筛查。
Objective To analyze the acceptability and effect of opportunistic screening for cervical cancer in clinic and to provide basis for its routine examination. Methods A total of 1078 women in the Hangu Women and Children’s Health Center in Tianjin Binhai New District from January to June 2014 were screened for opportunistic cervical cancer using various methods. Results The opportunistic screening rate was 83.9% (1078/1285) and the positive screening rate was 9.7% (101/1078). Among them, the positive rate of cytology screening was 7.8% (77/984), the rate of high-grade lesions was 1.1% (11/984), the high-risk HPV-DNA was 19.8% (31/163) Double positive rate was found in 10.1% (7/69), 6 cases of cervical cancer were detected, the detection rate was 0.5%, including 3 cases of cervical squamous cell carcinoma, 2 cases of adenocarcinoma and 1 case of CIN2, which was higher than that of cervical cancer Detection rate (0.016%). Conclusions Opportunistic screening is a widely accepted screening method for cervical cancer in women. The detection rate of opportunistic cervical cancer is higher than that of histological screening.