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目的:探究曲靖市麒麟区10082例宫颈癌筛查情况。方法:2016年对曲靖市麒麟区10082例妇女进行宫颈癌筛查,通过妇科检查、TCT检查,对肉眼发现异常和TCT阳性的,给予阴道镜和组织病理学检查。结果:(1)10082例受试人员,肉眼检查异常1021例异常,占10.1%。(2)10082例受试人员,HPV-DNA阳性2008例,阳性率为19.9%。(3)薄层液基细胞学检查,阳性425例,占4.2%,其中,ASC-US 304例,占3.0%,ASC-H30例,占0.3%,LSIL33例,占0.3%,HSIL58例,占0.6%。(4)10082例受试人员,共检查出早期宫颈癌患者125例,其中,宫颈上皮内瘤变I45例,宫颈上皮内瘤变II38例,宫颈上皮内瘤变III30例,原位癌7例,浸润癌5例。结论:曲靖市麒麟区宫颈癌筛查情况不容乐观,薄层液基细胞学、组织病理学检查、阴道镜以及HPV联合检查,是筛查宫颈癌的主要手段,值得在基层医院广泛开展。
Objective: To investigate the situation of cervical cancer screening of 10082 cases in Qilin District of Qujing City. Methods: In 2016, 10082 women in Kirin District of Qujing City were screened for cervical cancer. Colposcopy and histopathological examination were performed on gynecological examinations and TCT examinations. Results: (1) 10082 cases of test subjects, 1021 cases of abnormal visual inspection abnormalities, accounting for 10.1%. (2) 10082 subjects, HPV-DNA positive 2008 cases, the positive rate was 19.9%. (3) Thin-section liquid-based cytology, 425 cases were positive (accounting for 4.2%), including ASC-US 304, accounting for 3.0%, ASC-H 30, accounting for 0.3%, LSIL33, accounting for 0.3% Accounting for 0.6%. (4) A total of 10082 subjects were examined in 125 patients with early cervical cancer. Among them, I 45 cases of cervical intraepithelial neoplasia, II38 cases of cervical intraepithelial neoplasia, 30 cases of cervical intraepithelial neoplasia III and 7 cases of carcinoma in situ , Invasive carcinoma in 5 cases. Conclusion: The situation of cervical cancer screening in Qilin district of Qujing City is not optimistic. Thin-layer liquid-based cytology, histopathological examination, colposcopy and HPV combined examination are the main means of screening for cervical cancer and deserve wide application in primary hospitals.