桂城街道2020-2023年宫颈癌筛查结果分析  

Analysis of cervical cancer screening results and management of abnormal population in Guicheng Street from 2020 to 2023

作　　者：谢有欢 陈思璐 Xie Youhuan;Chen Silu(Foshan Nanhai District General Hospital,Foshan Nanhai Guicheng Hospital,Foshan,Guangdong 528000,China)

机构地区：[1]广东省佛山市南海区全科医院,佛山市南海桂城医院,广东佛山528000

出　　处：《首都食品与医药》2025年第9期102-105,共4页Capital Food Medicine

摘　　要：目的 分析桂城街道2020年、2022年、2023年宫颈癌筛查结果,探讨宫颈癌筛查的意义。方法 选择2020年1月-2023年12月于我院进行宫颈癌筛查的6974名女性。统计宫颈癌筛查结果,比较不同年龄段、不同孕产史、不同类型HPV的宫颈癌筛查结果、癌前病变及宫颈癌检出情况。结果 2020-2023年6974例进行宫颈癌筛查的女性中,结果异常的有544例,宫颈癌筛查结果异常检出率7.80%(544/6974);2020年、2022年、2023年宫颈癌筛查异常检出率分别为3.83%(114/2975)、8.79%(174/1980)、12.68%(256/2019)。45-54岁年龄段宫颈癌筛查异常检出率最高,为8.82%(242/2743),其次是55-65岁年龄段,检出率为7.55%(89/1179),35-44岁年龄段检出率最低,为6.98%(213/3052)。孕产史5次以上宫颈癌筛查异常检出率最高,为11.62%(111/955),其次是3-5次,检出率为7.96%(308/3867),1-2次宫颈癌筛查异常检出率最低,为5.81%(125/2152)。544例宫颈癌筛查结果异常患者中,癌前病变检出142例,癌前病变检出率26.10%(142/544);宫颈癌检出11例,宫颈癌检出率2.02%(11/544)。142例癌前病变患者中,高危型HPV113例,低危型HPV29例;11例宫颈癌患者中,高危型HPV10例,低危型HPV1例。高危型HPV的癌前病变及宫颈癌检出率明显高于低危型HPV的癌前病变及宫颈癌检出率,差异有统计学意义(P<0.05)。结论 桂城街道2020-2023年宫颈癌筛查异常人群年龄段45-54岁占比最高,应引导适龄女性尽早筛查、定期筛查,以尽早发现宫颈病变并进行个体化管理,以降低宫颈癌发生率。Objective To analyze the results of cervical cancer screening in Guicheng Street in 2020,2022,and 2023,and explore the significance of cervical cancer screening.Methods A total of 6974 women who underwent cervical cancer screening in our hospital from January 2020 to December 2023 were selected.Compare the results of cervical cancer screening,precancerous lesions,and cervical cancer detection among different age groups,different pregnancy and childbirth histories,and different types of HPV.Results From 2020 to 2023,here were 544 cases of abnormal cervical cancer screening results in 6974 cases,and the abnormal detection rate of cervical cancer screening results was 7.80%(544/6974).The abnormal detection rates of cervical cancer screening in 2020,2022 and 2023 were 3.83%(114/2975),8.79%(174/1980),12.68%(256/2019),respectively.The highest abnormal detection rate of cervical cancer screening is 8.82%(242/2743)in the age group of 45-54 years old,followed by 7.55%(89/1179)in the age group of 55-65 years old,and the lowest detection rate is 6.98%(213/3052)in the age group of 35-44 years old.The highest abnormal detection rate of cervical cancer screening was 11.62%(111/955)with a history of more than 5 pregnancies,followed by 7.96%(308/3867)with 3-5 pregnancies,and the lowest abnormal detection rate was 5.81%(125/2152)with 1-2 pregnancies.Among 544 patients with abnormal screening results for cervical cancer,142 cases of precancerous lesions were detected,with a detection rate of 26.10%(142/544)for precancerous lesions;11 cases of cervical cancer were detected,with a detection rate of 2.02%(11/544).Among 142 patients with precancerous lesions,there were 113 cases of high-risk HPV and 29 cases of low-risk HPV;among the 11 cervical cancer patients,there were 10 cases of high-risk HPV and 1 case of low-risk HPV.The detection rate of precancerous lesions and cervical cancer in high-risk HPV is significantly higher than that in low-risk HPV,and the difference is statistically significant(P<0.05).Conclusion The abnormal age

关 键 词：宫颈癌 宫颈癌筛查 筛查结果 

分 类 号：R737.33[医药卫生—肿瘤]