北京市怀柔区61313例宫颈癌筛查结果分析  

Analysis on screening results of 61313 cases of cervical cancer in Huairou District of Beijing

作　　者：李桂香[1] 杨柏柳[1] 彭玉娜[1] 刘雁霞 李海英 

机构地区：[1]北京市怀柔区妇幼保健院,101400 [2]北京市怀柔区泉河社区卫生服务中心 [3]北京市怀柔区北房镇卫生院

出　　处：《职业与健康》2013年第18期2344-2345,2348,共3页Occupation and Health

摘　　要：目的通过了解北京市怀柔区妇女宫颈癌筛查效果,为政府制定决策提供依据。方法 2008年1月—2011年12月,对35～59岁怀柔区户籍妇女妇科、阴道分泌物、宫颈细胞学筛查结果进行分析,对细胞学异常妇女进行阴道镜及病理检查,采用统一问卷进行参与率及知识知晓率调查。结果实际筛查61 313人,筛查率为48.96%。妇女参与率为66.69%,知识知晓率为54.79%;妇科患病27 200人,患病率为44.36%。诊断宫颈上皮内瘤变(CIN)287例(CINⅠ164例,CINⅡ83例,CINⅢ40例),宫颈癌12例,其他妇科恶性肿瘤4例。2008—2009年宫颈癌宫前病变检出率1.53‰,2010—2011年宫颈癌宫前病变检出率2.54‰,两者相比,差异有统计学意义(χ2=7.56,P<0.01)。结论倡导以政府为主导,多部门合作的筛查模式。早期发现、早期诊断、早期治疗宫颈上皮内瘤变及宫颈癌,可以提高女性的生活及生命质量;应普及宫颈癌防治知识,积极开展生殖道感染防治,加强对细胞学阳性病例的随访和扩大阴道镜的筛查范围,以提高宫颈癌前病变及宫颈癌的检出率。[ Objective ] To understand the effect of cervical cancer screening among women in Huairou District, provide the basis for government~ decision-making. [ Methods] The screening results of gynecological examination, vaginal secretion and cervical cytolo- gy among local women aged 35-59 years old from January 2008 to December 2011 were analyzed, and the women with abnormal cytological results received the colposcopy and pathological examination. The participation rate and knowledge awareness rate were investigated by unified questionnaire. [ Results] Totally 61 313 women received the screening, with the screening rate of 48.96%. The participation rate and knowledge awareness rate was 66.69% and 54.79% respectively. 27 200 people were suffering from gynecological diseases, and the prevalence rate was 44. 36%. There were 287 cervical intraepithelial neoplasia （CIN） patients （ 164 cases of CIN I , 83 cases of CIN II and 40 cases of CIN III） , 12 patients with cervical cancer, and 4 patients with gynecologic malignant tumor. The detection rate of precancerous lesions of cervical cancer was 1.53‰ from 2008-2009, while that was 2. 54%o from 2010-2011, and the difference was significant （ χ2 = 7.56 ,P 〈 0.01 ）. [ Conclusion] The screening model that is dom- inated by the government with multi-section cooperation should be advocated. The early detection, early diagnosis and early treatment of cervical intraepithelial neoplasia and cervical cancer can highly improve the life quality of women. It is necessary to dissem- inate the knowledge about cervical cancer prevention, actively carry out prevention of reproductive tract infection, strengthen the follow-up among positive cytology cases, and expand the range of colposcope screening, to increase the detection rate of cervical precancerous lesions and cervical cancer.

关 键 词：宫颈癌 筛查 

分 类 号：R181.3[医药卫生—流行病学]