摘要
目的通过分析2008—2014年北京市以宫颈细胞学作为初筛方法行子宫颈癌筛查数据,了解北京市子宫颈癌筛查效果及存在问题。方法回顾性分析北京市子宫颈癌和乳腺癌筛查个案信息系统中2008—2009年(第一周期)、2011—2012年(第二周期)、2013—2014年(第三周期)18个区县上报的子宫颈癌筛查数据。结果第一、二、三周期的筛查覆盖率分别为19.2%(728 704/3 787 748)、18.8%(495 814/2 630 818)和15.4%(467 863/3 032 690);宫颈细胞学阳性(≥ASCUS)检出率分别为2.3%(16 587/728 704)、2.0%(10 095/495 814)和2.2%(10 073/467 863),其中高级别宫颈鳞状上皮内病变(HSIL)的检出率由第一周期的70.4/10万(513/72 870)增至第三周期的224.2/10万(1 049/467 863),增加了218.5%;早诊率由第一周期的92.0%(552/602)增至第三周期的97.1%(1 061/1 093),增加了5.5%;第一周期宫颈癌检出率最高(12.2/10万,89/728 704),第二、三周期为7.5/10万(37/495 814)和9.4/10万(44/467 863)。结论北京市三个周期宫颈癌前病变的检出率及早诊率逐渐提高,减少了子宫颈癌的发生,但也存在筛查覆盖率、宫颈细胞学检出率不高等问题。
Objective To understand the effect and problems of cervical cancer screening by cytology as the primary screening method in Beijing from 2008 to 2014,in order to further improve cervical cancer screening strategy.Methods A Three-cycle-data of cervical cancer screening of Beijing in years of 2008-2009,2011-2012 and 2013-2014 was collected from the Beijing cervical and breast cancer screening information system,which was reported annually from 18 districts and counties of Beijing.The data was analyzed retrospectively.Results Coverage rate of the first,second and third cycle was 19.2%（728 704/3 787 748）,18.8%（495 814/2 630 818） and 15.4%（467 863/3 032 690）,respectively.Cervical cytology positive detection rate of the three cycles were 2.3%（16 587/728 704）,2.0%（10 095/495 814） and 2.2%（10 073/467 863）,respectively.The detection rate of low-grade squamous intraepithelial lesions（LSIL） and high-grade squamous intraepithelial lesion（HSIL） gradually increased.Cervical lesion detection rate rising from 70.4/100 000（513/72 870） of the first cycle increased to 224.2/100 000（1 049/467 863） in the third cycle,which had risen by 218.5%.Rate of early diagnosis was 92.0%（552/602） of the first cycle,increased to 97.1%（1 061/1 093） in the third cycle,which increased by 5.5%.The detection rate of cervical cancer was fluctuated,the highest was in the first cycle,which was 12.2/100 000（89/728 704）,while it declined to 9.4/100 000（44/467 863） in the third cycle.Conclusions Beijing cervical cancer screening program has shown great progress.The detection rate of cervical lesions and the rate of early diagnosis gradually increased which was due to improving screening technology of health care institutions in the grassroots level.Meanwhile,issues on the low screening coverage and low cervical cytology detection rate should be paid more attention to.
作者
高丽丽
沈洁
张月
韩历丽
GAO Lili SHEN Jie ZHANG Yue HAN Lili(Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital, Beijing 100026, China)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2017年第2期124-127,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
国家自然科学基金(71373166)
关键词
子宫颈癌筛查
子宫颈癌
子宫颈上皮内瘤变
预防
mass screening
cervical cancer
cervical intraepithelial neoplasia
prevention
