摘要
目的分析北京市延庆区35~64岁女性宫颈癌的筛查情况,为今后改进宫颈癌筛查工作提供依据。方法选取2019年自愿参加宫颈癌免费筛查的35~64岁延庆区户籍妇女为研究对象,采用妇科检查、宫颈液基细胞学检查(TCT)及高危型人乳头瘤病毒检测(HR-HPV)技术对适龄女性进行宫颈癌筛查。结果14398名妇女宫颈癌前病变检出率为1125.16/10万,农村地区的癌前病变检出率高于城镇地区(χ^(2)=4.657,P<0.05),未筛查出宫颈浸润癌。HR-HPV联合TCT检测提高了宫颈癌及癌前病变的检出率。随着组织病理学级别增高,HR-HPV阳性率呈现上升趋势(趋势χ^(2)=142.404,P<0.05)。结论宫颈癌筛查意义重大,今后要加强宫颈癌筛查的宣传教育,尤其是对农村地区,健康教育要有针对性。
Objective To analyze the status of cervical cancer screening among women aged 35-64 in Yanqing district of Beijing,and to provide basis for improving cervical cancer screening in the future.Methods In 2019,women aged 35-64 registered residence in Yanqing district of Beijing who voluntarily participated in cervical cancer screening were selected as the research objects.Cervical cancer screening was performed on women of the right age group by gynecological examination,thin-prep cytology test(TCT)and high-risk human papilloma virus(HR-HPV).Results The detection rate of cervical precancerous lesions in 14398 women was 1125.16/100000.The detection rate of precancerous lesions in rural areas was higher than that in urban areas(χ^(2)=4.657,P<0.05).No invasive cervical cancer was detected.HR-HPV combined with TCT detection could improve the detection rate of cervical cancer and precancerous lesion.With the increase of histopathological grade,the positive rate of HR-HPV increased(trendχ^(2)=142.404,P<0.05).Conclusion Cervical cancer screening is of great significance.In the future,it is necessary to strengthen the publicity and education of cervical cancer screening,especially for rural areas.
作者
毛康娜
刘艳欣
陶惠芬
MAO Kangna;LIU Yanxin;TAO Huifen(Department of Science and Education,Maternal and Child Health Care Hospital of Haidian District,Beijing 100080,China;Department of Health,Maternal and Child Health Care Hospital of Yanqing District,Beijing 102100,China)
出处
《河南医学研究》
CAS
2021年第16期2921-2923,共3页
Henan Medical Research
关键词
宫颈癌
筛查
检出率
健康教育
cervical cancer
screen
detection rate
health education
