TBS系统筛查煤矿女工宫颈癌的研究  

Comparative Study on the Bethesda System for Cervical Carcinoma Screening in the Female Workers of Coalmine

作　　者：王旭波[1] 刘巧玲[1] 王琳[1] 陈蔚瑾[1] 黄艳萍[1] 

机构地区：[1]徐州医学院第二附属医院,江苏省徐州市221006

出　　处：《医学理论与实践》2003年第12期1390-1391,共2页The Journal of Medical Theory and Practice

摘　　要：目的:调查徐州矿务集团女工宫颈癌的发病情况,评价TBS分级系统的诊断价值。方法:应用国际癌症协会推荐的TBS系统行26494例宫颈细胞学诊断,筛查煤矿女工宫颈癌、癌前病变及感染性病变、反应性改变的流行病学状况。结果:TBS分级系统检出异常涂片2212例,患病率8.35％,宫颈癌(SCC)3例(11.32/10万),高度鳞状上皮内病变(HSIL)16例,低度鳞状上皮内病变(LSIL)123例,未明确诊断意义的鳞状上皮(ASCUS)69例,人乳头瘤病毒感染(HPV)16例,符合率分别为100％、93.8％和79.7％。结论:TBS系统诊断宫颈病变客观、准确,尤其对宫颈癌及癌前病变的诊断早期、敏感、特异。煤矿女工宫颈癌发病率略高于一般人群、发病年龄偏低。卫生习惯、生活环境及HPV感染是发病的相关因素。Objective:To investigate the illness of cervical carcinoma in the female workers of Xuzhou Mineral Group Company and evaluate the value in diagnosis of TBS system. Methods: The TBS grade system recommended by the international carcinoma association was applied for cervical cytology diagnosis,in order to screen the idemiologic condition of cervical carcinoma, precancerous lesion, infectious lesion and reaction change. Results: The TBS grade system detected 2212 abnormal examples and the ratio of illness was 8.35% , including 3 squamous cell carcinoma (SCC) , 16 high grade squamous intraepithelial lesions (HSIL) , 123 low grade squamous intraepithelial lesions (LSIL) ,69 atypical squamosal cells of determined significance (ASCIIS), 16 human papillonia virus (HPV). Conclusion: The Bethesda system makes the cervical lesion diagnosis objective and accurate, especially adapting to the initial diagnosis of cervical carcinoma and precancerous lesion which is sensitive and particular. The ratio of illness in coalmine female workers is higher than common persons and the age is lower. The habit of health, living environment and the infection of HPV are the concerned factors of illness.

关 键 词：TBS系统 筛查 煤矿女工 宫颈癌 流行病学 细胞学诊断 

分 类 号：R737.33[医药卫生—肿瘤]