2027例宫颈癌筛查结果分析及临床价值研究  

Analysis of Screening Results and Clinical Value of 2027 Cases of Cervical Cancer

作　　者：林芳[1] 贺青蓉[1] 张栋武 LIN Fang;HE Qingrong;ZHANG Dongwu(Gaoming District People’s Hospital of Foshan City,Foshan 528500,China;不详)

机构地区：[1]广东省佛山市高明区人民医院,广东佛山528500

出　　处：《中国医学创新》2020年第10期149-152,共4页Medical Innovation of China

摘　　要：目的:分析2027例宫颈癌筛查结果,为宫颈癌防控提供帮助。方法:回顾性分析2017年1月-2018年12月在本院进行政府免费两癌筛查的2027例女性资料,采用液基薄层细胞学(TCT)检测法对某区2027例20~59岁妇女进行宫颈疾病普查,并对筛查阳性结果病例进行年龄结构、职业分布及文化结构等方面的分析。结果:2027例宫颈疾病筛查结果中,TCT检测73例阳性结果,占总体的3.60%。73例筛查阳性结果细胞学分型以非典型鳞状上皮细胞非特异改变为主,ASC-US阳性率均高于LSIL型阳性率、ASC-H型阳性率及AGC型阳性率,差异均有统计学意义(P<0.05)。LSIL型阳性率均高于ASC-H型阳性率及AGC型阳性率,差异均有统计学意义(P<0.05)。ASC-H型与AGC型比较,差异无统计学意义(P>0.05)。20~29岁的阳性率高于40~49岁及50~59岁的阳性率,差异均有统计学意义(P<0.05)。30~39岁的阳性率高于50~59岁的阳性率,差异有统计学意义(P<0.05)。自由职业阳性率高于教师及公务员和医务人员,差异均有统计学意义(P<0.05)。初中及以下阳性率均高于高中及以下和大专及以上,差异均有统计学意义(P<0.05)。结论:适龄妇女宫颈病变变以ASC-US为主,该群体年龄结构呈年轻化、低文化趋势,加强对该类群体的宣传、管理成为宫颈癌防控的重点工作。Objective:To analyze the screening results of 2027 cases of cervical cancer,to provide assistance for prevention and control of cervical cancer.Method:A retrospective analysis was performed on the data of 2027 women who received two free government-provided cancer screenings in our hospital from January 2017 to December 2018.Cervical disease screening was performed in 2027 women aged 20 to 59 years in a certain area by thinprep cytology test(TCT).The age structure,occupation distribution and cultural structure of the positive screening cases were analyzed.Result:Among the screening results of 2027 cases of cervical diseases,73 cases were positive by TCT,accounting for 3.60%of the total.The cell types of 73 patients with positive results were mainly non-specific changes of atypical squamous epithelial cells.The positive rate of ASC-US was higher than that of LSIL,ASC-H and AGC,the differences were statistically significant(P<0.05).The positive rate of LSIL type was higher than that of ASC-H type and AGC type,the differences were statistically significant(P<0.05).Compare ASC-H with AGC,there was no significant difference(P>0.05).The positive rate of 20 to 29 years old was higher than that of 40 to 49 years old and 50 to 59 years old,the differences were statistically significant(P<0.05).The positive rate of 30 to 39 years old was higher than that of 50 to 59 years old,the difference was statistically significant(P<0.05).The positive rate of free occupation was higher than that of teachers,civil servants and medical staff,the differences were statistically significant(P<0.05).The positive rate of junior high school and below is higher than that of senior high school and junior college and above,the difference were statistically significant(P<0.05).Conclusion:ASC-US is the main cause of cervical lesions in women of right age.The age structure of this group is young and low-cultural.Strengthening the publicity and management of this group has become the key work of cervical cancer prevention and control.

关 键 词：妇女 宫颈癌筛查 宫颈液基薄层细胞学 

分 类 号：R737.33[医药卫生—肿瘤]