2014-2016年渭南市宫颈癌筛查结果分析

目的 了解陕西省渭南市2014至2016年3年间农村妇女宫颈癌筛查情况.方法 对辖区适龄妇女进行宫颈细胞学检查、阴道镜及组织病理检查,并记录个人信息及病史.结果 共完成宫颈癌筛查163 510例,年龄35 ～ 64岁,病理细胞学筛查结果阳性者3 747例,阳性率为2.29％,阴道镜实查人数8 348例,阴道镜异常人数1 360例,病理诊断筛查出宫颈癌49例,检出率为29.97/10万,癌前病变269例,早诊率为16.45/万.蒲城(x2 =15.818,P＜0.05)富平(x2=27.605,P＜0.05)、韩城(x2=25.132,P＜0.05)三个县阳性率有增加趋势.而临渭区(x2=17.091,P＜0.05)和大荔(x2=11.922,P ＜0.05)有下降趋势,总体评价有增加趋势(x2=25.353,P ＜0.05).结论 适龄女性宫颈疾病患病率逐年增高,应普及宫颈癌筛查,提高专业人员技术水平,加强妇女卫生教育宣传.

Analysis of cervical cancer screening in Weinan from 2014 to 2016

Objective To understand the situation of cervical cancer screening among rural women in Weinan City from 2014 to 2016 in Shaanxi Province.Methods Cervical cytology,colposcopy and histopathological examination were performed for women in childbearing age in the area under service.The personal information and medical history were recorded.Results The cervical cancer screening was completed in totally 163 510 cases aged 35 to 64 years old.The number of cases with positive results of pathological cytology screening was 3 747 with the positive rate of 2.29％.Totally 8 348 cases accepted colposcopy.The number of cases with abnormal results of colposcopy was 1 360.Totally 49 cases was diagnosed as cervical cancer by pathological diagnosis,and the detection rate was 29.97 per 100 000.Totally 269 cases of precancerous lesions was found,and early diagnosis rate was 16.45 per 10 000.The positive rates in Pucheng (x2 =15.818,P＜15.818),Fuping (x2 =27.605,P＜0.05),Haneheng (x2 =25.132,P＜0.05) were of increasing trend;while the positive rates in Linwei District (x2 =17.091,P ＜ 0.05) and Dali (x2 =11.922,P ＜ 0.05) were of decreasing trend,There was an increasing trend in overall evaluation (x2 =25.353,P ＜ 0.05).Conclusion The incidence of cervical disease of women in childbearing age increases year by year.The cervical cancer screening should be popularized,the technical level of professional staff should be improved,and the propaganda of women's health education should be strengthened.