襄阳市社区适龄妇女免费宫颈癌筛查结果分析  

Analysis of Free Cervical Cancer Screening Results for Community Appropriate Age Women Women in Xiangyang City

作　　者：李玉华[1] Li Yuhua(Affiliated Hospital of Xiangyang Polytechnic,Xiangyang Hubei,441021,China)

机构地区：[1]襄阳职业技术学院附属医院,湖北襄阳441021

出　　处：《襄阳职业技术学院学报》2024年第4期119-121,共3页Journal of Xiangyang Polytechnic

摘　　要：目的对襄阳市真武山社区35~64岁适龄妇女的宫颈癌筛查结果进行分析,了解无症状宫颈癌及癌前病变的发病情况。方法选取社区2336例适龄妇女2022年10月至2023年12月宫颈癌筛查资料进行分析,所有筛查女性均接受常规妇科检查及液基薄层细胞学检测(TCT),对细胞学结果异常者进一步行阴道镜检查及宫颈活组织检查,并分析结果。结果TCT结果异常者106例,占4.53%,包括ASC-US71例(3.03%)、LSIL23例(1.08%)、HSIL12例(0.56%)及SCC0例(0.00%);其中有80例患者进行宫颈活组织检查,CIN1级8例,CIN2级~CIN3级4例,宫颈癌1例。各年龄段妇女宫颈癌及癌前病变检出率差异无统计学意义(P>0.05)。结论要继续坚持和落实社区适龄妇女宫颈癌筛查工作,实现宫颈癌有效控制、逐步降低的目标,以提高妇女健康水平。Objective To analyze the cervical cancer screening results of women aged 35~64 years in Zhenwushan community of Xiangyang City,and to understand the incidence of asymptomatic cervical cancer and precancerous lesions.Method The cervical cancer screening data of 2336 women of appropriate age in the community from October 2022 to December 2023 were selected for analysis.All the women were subjected to gynecological routine examination and liquid base thin layer cytology(TCT).Colposcopy and cervical biopsy were performed for the abnormal cytology results,and the results were analyzed.Results 106 cases(4.53%)had abnormal TCT results,including 71 cases(3.03%)of ASC-USC,23 cases(1.08%)of LSILC,12 cases(0.56%)of HSILC and 0 cases(0.00%)of SCC.Of these,80 patients who have had cervical biopsy,colposcope;biopsies showed 8 cases of CIN1 grade,4 cases of CIN2-CIN3 grade and 1 case of cervical cancer.There was no significant difference in the detection rate of cervical cancer and precancerous lesions among all age groups(P>0.05).Conclusion It is necessary to continue to adhere to and implement the cervical cancer screening of women of appropriate age in the community,and realize the goal of effective control and gradual reduction of cervical cancer,so as to improve the health level of women.

关 键 词：宫颈癌 筛查 液基薄层细胞学检测(TCT) 阴道镜 活组织检查 

分 类 号：R737[医药卫生—肿瘤]