绝经后宫颈癌5308例筛查结果分析  被引量:2

Result of cervical cancer screening in 5308 post-menopausal women

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作  者:陈韵清 马虹 沈任雪 卢雅芬 黄亚洲 

机构地区:[1]厦门国宇健康管理中心,福建厦门361000

出  处:《基层医学论坛》2017年第16期2135-2136,共2页The Medical Forum

摘  要:目的探讨绝经后宫颈病变的特点及筛查的重要性。方法对2014年7月—2016年6月在我中心行妇科普查的5 308例绝经后妇女进行宫颈细胞学资料分析,并随机选择同期5 226例未绝经妇女作为对照组。结果未绝经组阳性检出率4.73%(247/5 226),高于绝经组的3.35%(178/5 308);绝经组筛查出宫颈细胞异常178例,HSIL占8.43%(15/178),高于未绝经组的2.83%(7/247);绝经组ASC-H占11.80%(21/178),也明显高于未绝经组的3.64%(9/247),差异均有统计学意义(P<0.05)。未绝经组ASCUS占78.14%(193/247),高于绝经组的67.98%(121/178),差异有统计学意义(P<0.05)。随访到25例绝经组宫颈细胞高度病变的受检者,其中15例经阴道镜宫颈活检后确诊为宫颈原位癌或宫颈细胞高度病变。结论绝经后宫颈上皮细胞更容易发展为高度病变,因此绝经后妇女应重视宫颈癌的筛查。Objective To investigate the characteristics of cervical lesion and the importance of cervical cancer screening in post-menopausal women.Methods From July 1,2014 to June 30,2016,the data of 5308 post-menopausal women and 5226 premenopausal women who had cervical cancer screening in Xiamen Guoyu Health Management Center are analyzed.Results The positive rate was 4.73% (247/5226) and 3.35% (178/5308) respectively in premenopausal women and postmenopausal women. Among the 178 cases of abnormal cervical cytological finding in post-menopansal women, HSIL and ASC-H rate were 8.43%( 15/178)and 11.8%(21/178) respectively compared with 2.83%(7/247 ) and 3.64%(9/247) respectively in premenopausal women (P〈0.05).ASCUS rate were 67.98%(121/178) and 78.14%(193/247) respectively in postmenopausal women and premenopausal women (P〈0.05).25 post-menopausal women who underwent cervical biopsy by colposcopy showed that 15 cases were diagnosed as carcinoma in situ or cervical high-grade lesion.Conclusions Cervical epithelial cells in post-menopausal women are more likely develop to cervical high-grade lesion, we should pay more attention to cervical cancer screening in post-menopausal women.

关 键 词:绝经 宫颈癌筛查 宫颈细胞高度病变 HSIL ASC-H 

分 类 号:R737.33[医药卫生—肿瘤]

 

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