新会区适龄妇女宫颈癌筛查现状分析  

Analysis of the current situation of cervical cancer screening among women of appropriate age in Xinhui District

作　　者：周秀春[1] ZHOU Xiu-chun(Jiangmen Xinhui District Maternal and Child Health Hospital,Jiangmen 529100,China)

机构地区：[1]广东省江门市新会区妇幼保健院,529100

出　　处：《中国实用医药》2020年第25期159-161,共3页China Practical Medicine

摘　　要：目的了解新会区适龄妇女宫颈癌发病情况,并制定相关防治措施。方法对新会籍7200例35~60岁适龄妇女采用巴氏涂片细胞学检查进行宫颈癌筛查,统计所有筛查对象的患病情况、年龄分布情况、对宫颈癌知识的认知、常规妇科检查以及配合筛查情况。结果 7188例未见上皮内细胞病变细胞与恶性细胞,非典型鳞状细胞病变(ASC-US)8例,低度鳞状上皮内病变(L-SIL)3例,高度鳞状上皮内病变(H-SIL)1例,上述12例检出阳性结果患者经病理学诊断发现,宫颈癌病变(CIN)4例,确诊宫颈癌1例。12例检出阳性结果的患者中, 35~40岁3例, 41~50岁4例, 51~60岁5例。2916例筛查对象知晓宫颈癌相关知识,占比40.50%;4284例筛查对象不知晓宫颈癌相关知识,占比59.50%。148例筛查对象有每年进行常规妇科检查的习惯,仅占比2.06%例。3156例筛查对象积极地配合宫颈癌筛查工作,占比43.83%;4044例筛查对象经宣传教育后才接受筛查,占比56.17%。结论对新会区适龄妇女进行宫颈癌筛查可了解此地区宫颈癌的发病情况,积极地开展健康教育,可显著提高适龄妇女的防癌意识,此措施是降低本地区宫颈癌发病率的关键所在。Objective To understand the incidence of cervical cancer in women of appropriate age in Xinhui District, and formulate relevant prevention and treatment measures. Methods 7200 women aged 35-60 years old were screened for cervical cancer by Pap smear cytology. The prevalence, age distribution, cognition of cervical cancer knowledge, routine gynecological examination and screening cooperation of all screening subjects were counted. Results There was no intraepithelial cytopathic cells and malignant cells in 7188 cases. Among them, 8 cases of atypical squamous cells of undetermined significance(ASC-US), 3 cases of low-grade squamous intraepithelial lesions(L-SIL), 1 case of high-grade squamous intraepithelial lesions(H-SIL), and pathological diagnosis of the above 12 positive patients found that 4 cases of cervical intraepithelial neoplasia(CIN) and 1 case of cervical cancer. Among the 12 cases with positive results, 3 cases were 35-40 years old, 4 cases were 41-50 years old, and 5 cases were 51-60 years old. Among them, 2916 cases knew cervical cancer related knowledge, accounting for 40.50%;4284 cases did not know cervical cancer related knowledge, accounting for 59.50%. 148 cases had the habit of routine gynecological examination every year, accounting for only 2.06%. 3156 screening objects actively cooperated with cervical cancer screening, accounting for 43.83%;4044 screening objects were screened after publicity and education, accounting for 56.17%. Conclusion Cervical cancer screening for women of appropriate age in Xinhui District can understand the incidence of cervical cancer in this area. Active health education can significantly improve the awareness of cancer prevention of women of appropriate age. This measure is the key to reducing the incidence of cervical cancer in this area.

关 键 词：宫颈癌 适龄妇女 筛查 

分 类 号：R737.33[医药卫生—肿瘤]