摘要
目的评价社区卫生服务中应用液基细胞学联合阴道镜筛查宫颈癌的效果,探索适合社区育龄妇女宫颈癌筛查的途径与方法以及社区卫生应用液基细胞学联合阴道镜筛查宫颈癌的可行性。方法选择2011年3月20日—2012年3月20日西乡街道社康中心妇科门诊宫颈癌筛查的妇女作为对象,使用专门的宫颈刷来采集宫颈细胞,标本注明社康中心的名称、患者的姓名和年龄、取样时间,送到上级医院检验科检验。每位筛查者同时进行阴道镜检查,对阳性患者详细清晰地描述宫颈异常区域直接活检,建议患者转诊到上级医院检验科进行病理检查确诊。结果本次共筛查240名育龄妇女,共发现异常43例(不包括萎缩性及普通炎症改变),占17.92%。其中,不典型鳞状细胞(ASCUS)改变13例(5.41%),低度鳞状上皮内病变(LSIL)9例(3.75%),其中HPV感染7例,占LSIL的77.78%,占筛查人数的2.92%,高度鳞状上皮内病变4例(1.67%),子宫颈鳞癌2例(0.83%),滴虫性阴道炎35例(14.58%),疱疹病毒感染1例(0.42%),霉菌性阴道炎109例(45.42%)。结论社区卫生服务中应用液基细胞学联合阴道镜筛查宫颈癌筛查后,社区居民对宫颈癌的基本知识、态度及行为知晓率由干预前的26.55%上升至96.58%,切实让居民享受到安全、有效、便捷及经济的公共卫生服务和基本医疗服务。
OBJECTIVE To evaluate the application of community health service in the liquid based cytology combined with colposcopy in screening of cervical cancer effect, to explore ways and methods suitable for community women cervical cancer screening and feasibility of community health application of liquid based cytology combined with colposcopy in screening of cervical cancer. METHODS From March 20, 2011 to March 20, 2012, Xixiang Street Community Health Center＇s out-patient gynecological cervical cancer screening for women as objects, using the cervical brush dedicated to collect cervical cells, were written name, community health center patients name, age, sampling time, two-way referral to the hospital inspection department. Each screening with colposcopy for positive patients, with a clear description of abnormal cervical region and the guidance of direct biopsy, two-way referral to the hospital inspection department confirmed by pathological. RESULTS A total of 240 women of childbearing age in the screening, 43 cases were found abnormal （not including the atrophic and general inflammation） , accounted for 17.92%. Among them, atypical squamous celIs（ASCUS）in 13（5.41%）, low-grade squamous in traepithelial lesion（LSIL） in 9 cases（3.75%） where HPV infection in 7 cases, accounting for 77.78% of LSIL accounted for 2.92% of the total number of screening, 4 cases of high-grade squamous intraepithelial lesion 1.67% ） of 2 cases of uterine cervical squamous carcinoma （0.83%） of 35 cases trichomonas vaginitis （14.58%）, 1 cases of herpes simplex virus infection（0.42%）, 109 patients with colpitis mycotica（45.42%）＂. CONCLUSIONS The application of liquid based cytology combined with colposcopy in screening cervical carcinoma screening after community health service in community residents to cervical cancer knowledge, attitude and behavior about basic rate increased from 26.55% before the intervention to 96.58%, let the residents to enjoy a safe, effective, convenient, economic, public health services and basic medical services.
出处
《中国初级卫生保健》
2014年第4期43-45,共3页
Chinese Primary Health Care
基金
深圳市宝安区科技项目(20110652)
关键词
筛查
宫颈癌
社区
液基细胞学联合阴道镜检查
screening
cervical cancer
community
TCT and cytology methods combined examine
