2020-2022年度对泰州市海陵区宫颈癌筛查结果分析  

Analysis of Cervical Cancer Screening Results in Hailing District of Taizhou City During 2020-2022

作　　者：戴莹华 Dai Yinghua(Women's Health Care Department,Taizhou Maternal and Child Health Care Institute of Jiangsu Province,Taizhou 225300,Jiangsu Province,China)

机构地区：[1]江苏省泰州市妇幼保健所妇女保健科,江苏泰州225300

出　　处：《中国社区医师》2024年第15期140-142,共3页Chinese Community Doctors

摘　　要：目的:分析2020—2022年度泰州市海陵区的适龄女性宫颈癌筛查结果。方法:选取2020—2022年度泰州市海陵区的47445名女性作为研究对象,实施宫颈癌筛查工作,对筛查结果异常者进行随访、复诊,追踪最终组织病理检查结果。结果:2020—2022年度泰州市海陵区人乳头瘤病毒(HPV)总阳性率为11.19%,HPV阳性合并阴道炎占HPV阳性的37.11%。液基薄层细胞学检测(TCT)总参与率为95.79%,2020、2021、2022年分别为94.59%、95.02%、97.54%,参与率逐年提高。TCT检查总异常率为26.34%,异常分型总例数前3位由高到低依次为意义不明确的非典型鳞状细胞、低度鳞状上皮内病变、不除外高度鳞状上皮内病变。阴道镜检查总参与率为95.20%,2020、2021、2022年分别为90.94%、96.01%、97.96%,参与率逐年升高。阴道镜检查总异常或可疑率为88.69%,2020—2022年阴道镜检查异常或可疑率逐年提高。阴道镜总活检阳性率为54.66%。结论:宫颈癌的筛查可提高二级预防水平,泰州市海陵区应关注下生殖道感染筛查管理,加强筛查工作的精细化管理及阴道镜评估水平。Objective:To analyze the results of cervical cancer screening among women at appropriate age in Hailing District of Taizhou City during 2020-2022.Methods:A total of 47445 women in Hailing District of Taizhou City during 2020-2022 were selected as the study subjects for cervical cancer screening.Follow-up and return visit were performed for women with abnormal screening results,and the final histopathological examination results were tracked.Results:In Hailing District of Taizhou City during 2020-2022,the total positive rate of human papillomavirus(HPV)was 11.19%,and HPV-positive cases combined with vaginitis accounted for 37.11%of HPV-positive cases.The total participation rate of thin-layer liquid-based cytology(TCT)was 95.79%,the participation rate was 94.59%,95.02%,and 97.54%in 2020,2021,and 2022,respectively,showing an increasing trend.The total abnormal rate by TCT examination was 26.34%,and the top three abnormal classification cases in a descending order were atypical squamous cells of undetermined significance,low-grade squamous intraepithelial lesion,and atypical squamous cells(cannot exclude high-grade squamous intraepithelial lesions).The total participation rate of colposcopy was 95.20%,the participation rate was 90.94%,96.01%,and 97.96%in 2020,2021,and 2022,respectively,showing an increasing trend.The total abnormal or suspicious rate by colposcopy was 88.69%,and the abnormal or suspicious rate by colposcopy increased annually during 2020-2022.The total positive rate by colposcopy biopsy was 54.66%.Conclusion:Cervical cancer screening can improve the level of secondary prevention.In Hailing District of Taizhou City,it is necessary to pay attention to the screening management of lower genital tract infection,and strengthen the fine management of screening and the colposcopy evaluation level.

关 键 词：宫颈癌 人乳头瘤病毒 液基薄层细胞学 阴道镜 

分 类 号：R173[医药卫生—妇幼卫生保健]