2013—2016年新疆贫困地区妇女宫颈癌筛查结果分析  

Analysis of cervical cancer screening results of women in poverty-stricken counties of Xinjiang Uygur Autonomous Region over a period from 2013 to 2016

作　　者：王小丽 李芳 李红娜 王磊 WANG Xiaoli;LI Fang;LI Hongna;WANG Lei(Maternity and Child Health Hospital of Xinjiang Uygur Autonomous Region,Urimqi,Xinjiang 830000,China)

机构地区：[1]新疆维吾尔自治区妇幼保健院,新疆乌鲁木齐830000

出　　处：《中国妇幼健康研究》2022年第3期62-66,共5页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解新疆贫困地区农村妇女宫颈癌筛查工作开展的效果,为该地区宫颈癌防治提供依据。方法通过收集2013-2016年该地区农村妇女宫颈癌检查项目的报表资料,对当地妇女宫颈癌患病特征和结果进行回顾性分析,并比较贫困地区与非贫困地区妇女宫颈癌和癌前病变的检出情况。结果2013-2016年新疆贫困地区共有400740名适龄妇女接受宫颈癌筛查,累计宫颈癌检出率为43.17/10万(173人),宫颈癌前病变检出率为119.03/10万(477人)。宫颈癌和癌前病变患者年龄、文化程度差异均有统计学意义(χ^(2)值分别为53.380、15.210,P<0.05),宫颈癌患者中45~54岁妇女占比最高,为41.04%,癌前病变患者中35~44岁妇女占比最高,为46.96%;宫颈癌和癌前病变患者中小学及以下文化程度的占比均最高,分别为67.92%、79.77%。新疆贫困地区宫颈癌、癌前病变检出率均高于非贫困地区,早期治疗率低于非贫困地区,差异均有统计学意义(χ^(2)值分别为39.020、42.890、365.410,P<0.05)。结论新疆贫困地区农村妇女宫颈癌早诊早治工作取得了明显的进步。后期改善筛查服务模式,加强基层人员培训是促进宫颈癌前病变早期检出的重要因素。Objective To investigate current situation of cervical cancer screening in poverty-stricken counties of Xinjiang and provide evidence for prevention and treatment of cervical cancer.Methods The reported data of cervical cancer screening in rural women in Xinjiang Uygur Autonomous Region over a period from 2013 to 2016 were collected,characteristics of the disease were analyzed,and the differences in morbidity of the disease among poverty-stricken counties and other areas were compared.Results A total of 400,740women in poverty-stricken counties from 2013 to 2016 received cervical cancer screening.The detection rate of cervical precancerous lesions was 119.03/100,000(477cases),and the detection rate of cervical cancer was 43.17/100,000(173 cases).There were significant differences in age and educational background between the cervical cancer group and the cervical precancerous lesions group(χ^(2)=53.38 and 15.21 respectively,both P<0.05).These women aged 45-54 years old accounted for the highest proportion(41.04%)of the women with cervical cancer,while those women aged 35-44 years old accounted for the highest proportion(46.96%)of the women with cervical precancerous lesions.Among the women with cervical cancer and cervical precancerous lesions,those women with educational levels of middle schooling,primary schooling and below accounted for the highest proportion(67.92%and 79.77%respectively).The detection rates of cervical precancerous lesions and cervical cancer in the women in poverty-stricken areas were both higher than those in the women in non-poverty-stricken areas,while the early treatment rate was lower than that in the non-poverty-stricken areas,and there were significant differences(χ^(2)=42.89,39.02 and 365.41 respectively,all P<0.05).Conclusion The early diagnosis and early treatment of cervical cancer in poverty-stricken counties have made great progresses.Improving screening service model and strengthening staff training will promote early detection of cervical cancer and cervical precancerous les

关 键 词：宫颈癌筛查 贫困农村 新疆 癌前病变 

分 类 号：R173[医药卫生—妇幼卫生保健]