漯河市农村妇女宫颈癌筛查结果分析

目的 了解漯河市农村妇女宫颈癌前病变及宫颈癌的发病情况。方法 应用液基细胞学检查技术并结合TBS分级系统，采用随机原则于2012年3月 - 6月对该市20个农村6 007例妇女进行免费宫颈癌筛查，在HPV分流下对ASC及其以上病变行阴道镜检查，取病理学活检并做相应处理。结果 共筛查6 007人，合格标本5 919例，异常439（7.42%）例，44～47岁组妇女患病率高。其中ASC:288例（4.87%），LSIL:96例（1.62%），HSIL:51例（0.86%），SCC:4 例（0.07%）；根据HPV结果，对310例患者进行阴道镜及组织病理活检。结果发现正常或炎症163例（58.58%），CINⅠ55例（17.74%）,CINⅡ28例（9.32%），CINⅢ59例（19.03%），浸润癌5例（1.61%）。结论 农村妇女是宫颈癌发病的高危人群，各级部门应重视农村妇女宫颈癌筛查工作。

Analysis on Cervical Cancer Screening among Women in Rural Areas of Luohe City

Objective This work was to investigate the cervical cancer and precancerous lesions of woman in Rural Areas of Luohe City. Methods TCT technology and TBS hierarchy system were used to screen the cervical cancer and precancerous lesions. From March to June,2012, 5919 women from 20 villages in Luohe city were randomly chosen for free cervical cancer screen. By the result of HPV test, Gynecatoptron and biopsy pathology of cervix were used to diagnose Women with ASC or higher level lesion. Results 6007 women received screening of cervical lesions. 5919 women were selected as research objects, and 439 (7.42%) cases were abnormal. The 44~47 years old group had the highest incidence. Among them, ASC: 288 of ASC (4.87%), 96 of LSIL (1.62%), 51of HSIL (0.86%), 4 of SCC (0.07%). By HPV test result, 310 women were screened by gynecatoptron and biopsy pathology.Among them, 163 cases(58.57%) were normal or inflammation;55 cases (17.74%) were CIN; 28 cases (9.32%) CINⅡ; 59 cases (19.03%) CINⅢ; 5 cases (1.61%) invasive cancer. Conclusion The incidence of rural women cervical disease, especially high level lesions, was high. So the screening of cervical cancer and precancerous lesions of woman in rural areas provided by governments at all levels should be emphasized.