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[目的]探讨集中筛查及提高城市妇女宫颈癌筛查顺应性的方法。[方法]回顾和分析深圳市龙岗区龙岗街道计划生育服务中心2009年妇科病普查普治期间参与宫颈癌筛查的672人的资料及结果。[结果]社区妇女参加妇科病普查普治的参与率高,而宫颈癌筛查顺应性较低。6630人中,有66.51%户籍妇女参与妇科病普查,共计有672人进行了液基薄层细胞学(TCT)的初筛,顺应性仅为10.14%,发现≥不能明确意义的非典型鳞状细胞(ASC-US)有58例,总阳性率8.63%;67人进行了人乳头状瘤病毒(HPV)检测,发现异常的有28例;其中TCT+HPV同时异常的有18例。70例转诊阴道镜或行病理检查,共筛查出≥宫颈上皮内瘤变(CIN)Ⅱ级8例,人群CIN现患率1.19%,其中1例为宫颈癌Ⅰb期。[结论]计划生育服务站开展宫颈癌的初级筛查是可行的,应充分利用基层计划生育服务站集中开展妇科病普查普治的时机,同时开展城市妇女宫颈癌的集中筛查,这样有望提高宫颈癌的筛查顺应性。
[Objective] To explore the method of screening and improving the compliance of cervical cancer screening in urban women. [Methods] To review and analyze the data and results of 672 people participating in cervical cancer screening during 2009 general survey of gynecological diseases in Longgang District, Longgang District, Family Planning Service Center. [Results] The participation rate of community women in general survey of gynecological diseases was high, while the screening of cervical cancer was low. Among 6630 people, 66.51% of the registered women participated in the gynecological survey. A total of 672 people had preliminary screening of liquid-based thin-layer cytology (TCT) with a compliance of only 10.14% and found that the atypical squamous There were 58 cases (ASC-US) with a positive rate of 8.63%. Sixty-seven human papillomavirus (HPV) tests showed abnormalities in 28 cases. Among them, 18 cases had TCT + HPV abnormalities at the same time. Seventy patients were referred for colposcopy or pathological examination. Eight patients with cervical intraepithelial neoplasia (CIN) grade Ⅱ were screened out, and the prevalence of CIN in the population was 1.19%. One case was stage Ⅰb cervical cancer. [Conclusion] The primary screening of family planning service station for cervical cancer is feasible. It is suggested that family planning service stations should make full use of the timing of general survey of gynecological diseases and carry out centralized screening of cervical cancer in urban women, which is expected to increase Cervical cancer screening compliance.