对2544936例20～64岁健康妇女宫颈癌筛查结果分析

目的：调查20～64岁健康妇女宫颈癌患病状况。方法以2008至2013年江苏省淮安市20～64岁健康妇女为研究对象，每年进行1次宫颈癌筛查，确诊宫颈癌后上报。结果6年间共筛查2544936例，确诊宫颈癌159例，平均宫颈癌发病率6．25/10万。其中2009年宫颈癌发病率最高10．20/10万，与2010至2013年宫颈癌发病率比较有统计学差异（χ2值分别为9．60、5．54、11．36、6．88，均P＜0．05）。2013年随机选取两组妇女，分别采用液基薄层细胞检测和巴氏涂片筛查宫颈癌，两组筛查率无显著性差异（χ2＝0．30，P＞0．05）。结论加大宫颈癌防治力度可降低健康妇女宫颈癌发病率，宫颈液基薄层细胞检测法或巴氏涂片法对宫颈肿瘤检出率无明显差异。

Cervical cancer screening results of 2 544 936 healthy women aged 20-64 years

Objective To explore the incidence of cervical cancer in healthy women aged 20-64 years.Methods All of the healthy women aged 20-64 years in Huai’ an city were recruited in this study during the period of 2008 to 2013.They were screened for cervical cancer once a year.The confirmed cases were reported.Results During these 6 years totally 2 544 936 women were examined, and 159 women were diagnosed with cervical cancer with prevalence of 6.25 per 100 000.The prevalence in 2009 was highest, which was 10.20 per 100 000.It was significantly different compared with that during the period of 2010 to 2013（χ2 value was 9.60, 5.54, 11.36 and 6.88, respectively, all P〈0.05） .In 2013 two groups of women were randomly selected to screen by TCT or pap smear.There was no significant difference between two groups（χ2 =0.30, P〉0.05）.Conclusion The incidence rate of cervical cancer can be reduced by enhancing prevention of cervical cancer.There is no significant difference in cervical cancer detection rate between TCT and pap smear.