城市医院宫颈癌机会性筛查初步研究  

Preliminar study of opportunistic screening(OS) of cervical cancer in the country hospitals of China

作　　者：王冬[1] 周琦[1] 甘霖[1] 

机构地区：[1]重庆市肿瘤研究所妇瘤科,400030

出　　处：《重庆医学》2010年第13期1642-1643,1646,共3页Chongqing medicine

摘　　要：目的探讨在城市医院进行宫颈癌机会性筛查的价值。方法收集分析2008-2009年重庆市肿瘤研究所门诊进行宫颈癌机会性筛查的资料,筛查方法包括液基细胞学（TCT）、巴氏细胞学、高危型人乳头瘤病毒（HPV）、DNA检测,以及中国癌症基金会推荐的Ⅰ方案（TCT检查加高危型HPV-DNA检测）、Ⅱ方案（巴氏涂片加高危型HPV-DNA检测）、Ⅲ方案（醋酸白肉眼检查法）等;并经阴道镜检查,病理确诊宫颈病变及宫颈癌。结果共收治门诊患者22 213例次,其中接受机会性筛查3 514例,占门诊例次16.81%。最普遍采用的筛查方法是细胞学检查（TCT及巴氏细胞学方法）,占91.4%,检出宫颈癌前病变（CINⅠ＋CINⅡ＋CINⅢ）共79例（2.25%）,宫颈癌3例（0.1%）。结论城市医院内就诊人群宫颈病变检出率高,TCT在宫颈病变的筛查中起重要作用,应重视其机会性筛查,及时进行规范性治疗。Objective To explore the value of current opportunistic screening（OS） in diagnosis of cervical cancer and pre-cancer at the country hospitals of China. Methods The data of cbongqing cancer hospital between 2008--2009 was collected and analyzed. 6 means were used for OS：liquie-based cytology,classical Pap smear, HPV-DNA test,Protocol I recommended by Cancer Founda- tion of China（liquie-based cytologyand H PV DNA test）, Protocol Ⅱ（classical Pap smear and HPV DNA test）, Protocol Ⅲ （vision inspection with acetic add,VIA）. All the suspected cases underwenl colposeopy and biopsy. Each case of cervical lesion or cervical cancer was confirmed pathologically. Results The total of 22 213 patients came to our hospital and 3 514 （16.81% ）of them received OS. Cervical cytology（liquie-based cytology and classical Pap smear） was the most commonly used in screening（91.4%）. Cervical lesions pre-eancer were diagnosed in 79（2.25%） and cervical in 3（0.1 %）. Conclusion As the prevalence of cervical or pre-eancer is high among the women who visit hospital for gynecologic diseases, TCT great value in screening of cervical lesionses, The OS should be highly recommended so as to diagnose and treat cervical cancer and pre cancer properly and timely.

关 键 词：机会性筛查 宫颈癌 宫颈病变 宫颈细胞学 

分 类 号：R737.33[医药卫生—肿瘤]