摘要
目的分析35-64岁农村女性宫颈癌筛查结果。方法选取盐城市大丰区2018年1月-2020年12月对全区35-64岁农村妇女宫颈癌筛查的78010人,初筛选用宫颈液基薄层细胞学检查(TCT),阳性者行阴道镜检查、必要时的宫颈活检及组织病理学诊断。结果TCT提示:对78010人进行TCT检查,初次筛查阳性者3813例,阳性率为4.89%;其中ASC-US 2697(3.46%)人,ASC-H 127(0.16%)人,LSIL 833(1.07%)人,HSIL 134(0.17%)人,SCC 6(0.01%)人,AGC 5(0.01%)人。宫颈阴道镜检查5138(6.59%)人,病理活检1525(1.95%)人;病理示:低级别病变215(0.28%)人,高级别病变168(0.22%)人,原位癌39(0.05%)人,微小浸润癌14(0.02%)人,浸润癌7(0.01%)人。结论对于宫颈癌疾病,尤其是农村地区,重要的是做好预防措施,如定期开展筛查工作,以及时发现疾病并给予积极治疗。
Objective To analyze the cervical cancer screening results of rural women aged 35-64 years.Methods 78,010 rural women aged 35-64 from Dafeng District from January 2018 to December 2020,were selected for cervical fluid-based thin cytology examination(TCT),and the positive patients underwent colposcopy,cervical biopsy and histopathological diagnosis when necessary.Results TCT indicated that for 78010 people,3813 initial screening positive patients were 4.89%,including ASC-US 2697(3.46%),ASC-H 127(0.16%),LSIL 833(1.07%),HSIL 134(0.17%),SCC 6(0.01%)and AGC 5(0.01%).Cervical colposcopy,5138(6.59%),1525(1.95%)pathological biopsy,215(0.28%)low grade lesions,168(0.22%)high grade lesions,39(0.05%)carcinoma in situ,14(0.02%)minor invasive carcinoma and 7(0.01%)invasive carcinoma.Conclusion For cervical cancer diseases,especially in rural areas,it is important to take good preventive measures,such as regular screening work,and timely disease detection and active treatment.
作者
李蓉蓉
Li Rong rong(Yancheng Dafeng District Maternal and Child Health Care Hospital Obstetrics and Gynecology Department,Jiangsu Yancheng 224100)
出处
《实用妇科内分泌电子杂志》
2021年第13期12-14,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
农村35-64岁女性
宫颈癌
筛查结果
Rural women aged 35-64 years old
cervical cancer
screening results