2006～2009年健康体检人群宫颈细胞学筛查结果分析

目的:探讨健康体检人群宫颈细胞学筛查的意义及存在问题。方法:回顾性分析2006～2009年健康体检人群宫颈细胞学筛查结果。结果:2006～2009年共33 605例宫颈细胞学检查,其中液基细胞学2 970例(8.8%),上皮细胞异常280例(0.83%),微生物阳性841例(2.50%);连续两年以上行宫颈细胞学筛查20 086例,连续两年以上上皮细胞异常33例次(21.57%)、念珠菌阳性98例次(21.40%)、滴虫阳性15例次(62.50%)。结论:健康体检人群中宫颈细胞学筛查能够早期发现上皮细胞异常,有助于预防宫颈癌的发生;传统巴氏涂片仍是宫颈癌筛查主要方法,应当加强该技术的培训与质控;持续性上皮细胞异常和微生物感染在健康体检人群中所占比例较高,需要加强对该人群随访。

Analysis on the results of cervical cytological screening among the population undergoing physical examination from 2006 to 2009

Objective:To explore the significance and problems of cervical cytological screening among the population undergoing physical examination.Methods:The results of cervical cytological screening among the population undergoing physical examination from 2006 to 2009 were analyzed retrospectively.Results:A total of 33 605 women underwent cervical cytological screening from 2006 to 2009,including 2 970 women(8.8%) undergoing liquid-based cytological test,280 women(0.83%) were found with epithelial cell abnormalities,841 women(2.50%) were found with positive organisms;20 086 women underwent cervical cytological screening for more than consecutive two years,33 case-times(21.57%) were found with epithelial cell abnormalities for more than consecutive two years,98 case-times(21.40%) were found with positive organisms,and 15 case-times(62.50%) were found with positive trichomonad.Conclusion:Cervical cytological screening among the population undergoing physical examination can find the cases with epithelial cell abnormalities early,which is helpful to prevent the occurrence of cervical cancer;conventional Papanicolaou smear is still a main screening method for cervical cancer,the training of the technique and quality control should be enhanced;persistent epithelial cell abnormalities and microbial infection account for a large proportion of the population undergoing physical examination,so follow-up should be strengthened.