35245例宫颈癌筛查结果分析  

Cervical cancer screening in 35245 patients

作　　者：徐铁兵[1] 邢春英[1] 王维琴[1] 

机构地区：[1]沈阳市苏家屯区妇婴医院,辽宁沈阳110101

出　　处：《中国性科学》2012年第4期11-14,18,共5页Chinese Journal of Human Sexuality

摘　　要：目的:了解沈阳市苏家屯区农村已婚妇女子宫颈癌的发病率,争取对农村宫颈癌妇女做到早发现、早治疗,降低死亡率。探索更适于农村妇女的宫颈癌检查方式。方法:从2009～2011年连续3年对苏家屯区已婚农村妇女共35245人,进行宫颈脱落细胞学检查,妇科检查和脱落细胞学异常者行阴道镜检查和组织病理学检查。结果:通过3年的检查,2009年检出101例宫颈癌前病变和4例宫颈癌,发病率分别为14.43‰和57.2/10万。2010年检出101例宫颈癌前病变和10例宫颈癌,发病率分别为7.15‰和70.8/10万。2011年检出67例宫颈癌前病变和5例宫颈癌,发病率分别为4.74%和35.4/10万。宫颈癌前病变和宫颈癌的发病率均在40～59年龄段最高;19例宫颈癌中,2例为年轻宫颈癌患者,15例在40～59年龄段。结论:我区属宫颈癌高发地区,宫颈癌的发病趋于年轻化。宫颈癌发病率呈现出从上升到下降的变化,这也证实了宫颈癌筛查是早期发现和早期治疗宫颈癌的重要措施。Objectives： To understand the incidence of cervical cancer and CIN of married rural women in Sujiatun with an aim of achieving early detection,early treatment,and the reduction of the cervical cancer mortality.More suitable way for cervical cancer screening is expected to be found in this study.Methods： From 2009 to 2011,Pap smear test was performed on 35245 sexually active rural women in Sujiatun.The women with abnormal cervical smear test result and cervical disease received colposcopy and biopsy.Results： A total of 101 women were diagnosed with cervical intraepithelial neoplasia（CIN） and 4 were diagnosed with cervical cancer in 2009.A total of 101 out of 14123 were diagnosed with cervical intraepithelial neoplasia（CIN） and 10 out of 14123 were diagnosed with cervical cancer in 2010.A total of 67 out of 14122 were diagnosed with cervical intraepithelial neoplasia（CIN） and 5 out of 14122 were diagnosed with cervical cancer in 2011.The incidence of CIN and cervical cancer is highest in 40～59 age group.In 19 cervical cancer cases,2 were young patients and 15 were in 40～59 age group.Conclusion： There is a high risk of cervical cancer in Sujiatun.The age of cervical cancer and CIN patients tend to be younger.The incidence of cervical cancer tends to first increase and then decrease,which verify the idea that cervical cancer screening is an important measure for the early detection and early treatment.

关 键 词：宫颈癌 宫颈癌前病变(CIN) 筛查 发病率 死亡率 早发现 早治疗 

分 类 号：R737.33[医药卫生—肿瘤]