摘要
目的:探讨醋酸加碘染色肉眼观察法(VIA-VILI)筛查宫颈癌的影响因素。方法:对2003例自愿参加宫颈癌筛查的妇女进行问卷调查,采用VIA-VILI方法筛查宫颈癌,并应用病理诊断对筛查结果进行确认,分析可能影响VIA-VILI方法筛查结果的因素。结果:有经验医师对VIA-VILI方法的筛查结果产生有利影响(β<0,OR<1,P<0.05);近3年未参加筛查及患有宫颈炎症对筛查结果产生不利影响(β>0,OR>1,P<0.05);而妊娠次数、分娩方式、生产次数、醋酸作用时间及是否放置IUD等因素对筛查结果影响不明显(P>0.05)。结论:使用VIA-VILI方法进行宫颈癌筛查时,对患有宫颈炎症的妇女要注意减少漏诊,注意降低假阳性率;加强对医师的技术培训;鼓励妇女定期参加宫颈癌筛查;而对于绝经后妇女则不推荐使用VIA-VILI方法筛查宫颈癌。
Objective：To explore the effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer. Methods：2003 women who received cervical cancer screening voluntarily were surveyed by a questionnaire,visual inspection with acetic acid and iodine staining was used in the study,pathological diagnosis was applied to confirm the screening results,the effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer were analyzed. Results：Experienced doctors had positive impact on the screening results of cervical cancer by visual inspection with acetic acid and iodine staining（β0,OR1,P0.05）;not taking part in cervical cancer screening within the past 3 years and cervical inflammation had negative impact on the screening results of cervical cancer by visual inspection with acetic acid and iodine staining（β0,OR1,P0.05）.The effects of pregnancy times,delivery modes,parturition times,action time of acetic acid and placement of IUD or not had no obvious impact on the screening results of cervical cancer by visual inspection with acetic acid and iodine staining（P0.05）. Conclusion：When using visual inspection with acetic acid and iodine staining in screening of cervical cancer,the rate of missed diagnosis and false positive rate should be reduced for the women with cervical inflammation;technical training for doctors needs strengthening;women should be encouraged to take part in cervical cancer screening regularly;visual inspection with acetic acid and iodine staining is not recommended for postmenopausal women.
出处
《中国妇幼保健》
CAS
北大核心
2011年第21期3313-3315,共3页
Maternal and Child Health Care of China
基金
中央财政转移支付项目〔财社2007190〕
关键词
醋酸肉眼观察法
碘染色肉眼观察法
宫颈癌
影响因素
Visual inspection with acetic acid
Visual inspection with iodine staining
Cervical cancer
Effect factor
