宫颈疾病筛查项目在女性健康体检中应用状况分析  

Cervical cancer screening in physical examination

作　　者：陶敏芳[1] 陆建平[1] 沈瑾[1] 孙旭妍[1] 

机构地区：[1]上海交通大学附属第六人民医院妇产科,200233

出　　处：《中华健康管理学杂志》2010年第4期213-215,共3页Chinese Journal of Health Management

摘　　要：目的通过对健康体检人群中宫颈癌筛查项目应用状况的分析，提高健康人群对宫颈癌筛查的认识，降低宫颈癌的发生率。方法2008年10月1日至2009年9月30日在上海交通大学附属第六人民医院参加健康体检的妇女共15553例次，年龄（38．0±8．6）岁，对其中行宫颈疾病筛查项目的情况及筛查结果进行回顾性分析。结果行妇科专项体检者11542例次，占妇女健康体检总数的74．21%，单一行液基超薄技术（TCT）检测项目者占妇科体检总数的13．55％，TCT＋高危型人乳头状瘤病毒（HPV）为6．60％，TCT＋HPV筛查宫颈疾病的异常检出率显著高于单一TCT检测（X^2=15．87，P〈0．05）。结论健康体检中对妇女进行宫颈癌的筛查率低。Objective To investigate cervical screening procedure in routine physical examinations. Methods A retrospective study was carried out to assess the procedures and outcomes of cervical cancer screening among women receiving physical examinations in our hospital from October 2008 to September 2009. Results A total of 11 542 women underwent gynecological examinations. Of them, 13.55% only received TCT, 6.60% finished TCT ＋ HPV screening. The positive detection rate of TCT ＋ HPV screening was higher than TCT alone （X^2 = 15.87, P 〈 0, 05 ）. Conclusion Cervical cancer screening rate may be lOW.

关 键 词：宫颈肿瘤 普查 体格检查 

分 类 号：R737.33[医药卫生—肿瘤]