2006～2009年健康体检人群宫颈细胞学筛查结果分析  

Analysis on the results of cervical cytological screening among the population undergoing physical examination from 2006 to 2009

作　　者：魏清柱[1] 赵彤[2] 刘江欢[1] 张志雄[1] 阳巧[1] 

机构地区：[1]南方医科大学第三附属医院病理科,广东广州510630 [2]南方医科大学南方医院病理科

出　　处：《中国妇幼保健》2012年第7期1037-1039,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨健康体检人群宫颈细胞学筛查的意义及存在问题。方法:回顾性分析2006～2009年健康体检人群宫颈细胞学筛查结果。结果:2006～2009年共33 605例宫颈细胞学检查,其中液基细胞学2 970例(8.8%),上皮细胞异常280例(0.83%),微生物阳性841例(2.50%);连续两年以上行宫颈细胞学筛查20 086例,连续两年以上上皮细胞异常33例次(21.57%)、念珠菌阳性98例次(21.40%)、滴虫阳性15例次(62.50%)。结论:健康体检人群中宫颈细胞学筛查能够早期发现上皮细胞异常,有助于预防宫颈癌的发生;传统巴氏涂片仍是宫颈癌筛查主要方法,应当加强该技术的培训与质控;持续性上皮细胞异常和微生物感染在健康体检人群中所占比例较高,需要加强对该人群随访。Objective： To explore the significance and problems of cervical cytological screening among the population undergoing physical examination. Methods： The results of cervical cytological screening among the population undergoing physical examination from 2006 to 2009 were analyzed retrospectively. Results： A total of 33 605 women underwent cervical cytological screening from 2006 to 2009, including 2 970 women （8. 8% ） undergoing liquid -based cytological test, 280 women （0. 83% ） were found with epithelial cell abnormali- ties, 841 women （2. 50% ） were found with positive organisms; 20 086 women underwent cervical cytological screening for more than con- secutive two years, 33 case -times （21.57%） were found with epithelial cell abnormalities for more than consecutive two years, 98 case - times （21.40%） were found with positive organisms, and 15 case - times （62. 50% ） were found with positive trichomonad. Conclusion： Cervical cytological screening among the population undergoing physical examination can find the cases with epithelial cell abnormalities early, which is helpful to prevent the occurrence of cervical cancer; conventional Papanicolaou smear is still a main screening method for cervi- cal cancer, the training of the technique and quality control should be enhanced; persistent epithelial cell abnormalities and microbial infection account for a large proportion of the population undergoing physical examination, so follow - up should be strengthened.

关 键 词：宫颈细胞学筛查 健康体检 子宫颈癌 

分 类 号：R173[医药卫生—妇幼卫生保健]