宁波市鄞州区宫颈癌死亡、发病及筛查结果分析  

Analysis of mortality,morbidity and screening detection rates of cervical carcinoma in Yinzhou district,Ningbo city

作　　者：翁红飞 应焱燕[2] 王永[2] 纪威[2] 王红飞[3] 李小勇[3] 崔军[2] 李辉[2] 林鸿波[3] 许国章[2] 

机构地区：[1]宁波市鄞州区鄞江镇中心卫生院,浙江宁波315151 [2]宁波市疾病预防控制中心慢防所,浙江宁波315010 [3]宁波市鄞州区疾病预防控制中心健教慢病科,浙江宁波315100

出　　处：《中华全科医学》2016年第1期105-107,共3页Chinese Journal of General Practice

基　　金：浙江省宁波市科技创新团队项目(2012B82018);2012年浙江省医药卫生平台重点资助计划(2012ZDA041)

摘　　要：目的分析宁波市鄞州区宫颈癌死亡、发病及筛查结果,为宫颈癌防治提供依据。方法收集宁波市鄞州区2004—2013年宫颈癌死亡资料、2010—2013年发病资料和2014年宫颈薄层液基细胞学检查(即TCT)结果,采用构成比、标化率、趋势χ2等指标进行统计分析。标化率采用Segi’s 1985年世界人口构成。结果 2004—2013年宁波市鄞州区宫颈癌死亡共112例,粗死亡率2.90/10万,世界人口标化死亡率2.06/10万,随年度变化有增高趋势(趋势χ2=4.02,P=0.045)。宫颈癌死亡率随年龄增高而上升(趋势χ2=135.60,P<0.001)。2010—2013年宁波市鄞州区宫颈癌发病共215例,粗发病率14.11/10万,世界人口标化发病率9.34/10万,随年度变化趋势差异无统计学意义(趋势χ2=0.38,P=0.539)。宫颈癌发病率随年龄增高呈倒U型分布。2014年对2 295例已婚妇女进行TCT细胞学病理诊断,检出58例异常情况,检出率2.53%。其中以ASC-US最多(40例,占68.97%)。结论宁波市鄞州区宫颈癌死亡水平低于全国平均水平(3.4/10万),发病水平高于全国(7.5/10万)。需加强宫颈癌早期防治,重视各年龄组已婚妇女的TCT筛查。Objective To analyze the mortality, morbidity and screening detection rates of the cervical carcinoma in Yinzhou district, Ningbo City and to provide the evidence for prevention and control of the cervical carcinoma. Methods The Yinzhou residents death registration data from 2004 to 2013, the incidence data from 2010 to 2013 and theThinprep cytology test（TCT） data in 2014 of the cervical carcinoma were collected and analyzed with statistics indexes including proportion, adjusted-rate, trend χ2 , etc. The adjusted rates were calculated according to the Segi＇ s world standard in 1985. Results There were 112 death cases and the crude mortality of the cervical carcinoma from 2004 to 2013 was 2.90 per 105 in Yinzhou district,Ningbo city. The adjusted mortality of world population was 2.06 per 105. The mortality increased with year（ trend χ2 = 4.02, P = 0.045 ） and age（ trend χ2 = 135.60 ,P 〈 0.001 ）. The crude morbidity of the cervical car- cinoma from 2010 to 2013 was 14.11 per 105 in the same area, accounting for 215 incidence cases. The standardized inci- dence ratio in the general population was 9.34 per 105. There was no significant difference of morbidity among the years from 2010 to 2013 （ trend χ2 = 0.38 ,P = 0. 539 ）. The age-specific morbidity curve was the shape of inverted U type. 2 295 married women received the ThinPrep Pap test in 2014. Fifty-eight of them were abnormal and the rate was 2.53%. The most abnormal type was ASC-US（40 cases） and the proportion was 68.97%. Conclusion Yinzhou had the higher mor- tality and lower morbidity of the cervical carcinoma when compared to China. The early prevention and control of the cervi- cal carcinoma and TCT screening should be reinforced for the whole married women.

关 键 词：宫颈癌 死亡率 发病率 标化率 TCT 

分 类 号：R737.33[医药卫生—肿瘤]