823例宫颈癌机会性筛查结果分析

目的早期发现宫颈癌前病变及早期宫颈癌，预防及彻底治疗宫颈癌。方法收集分析2008年7月至2009年7月在内江市中医院妇科门诊进行宫颈癌机会性筛查的823例患者资料，按年龄分为A组（≤19岁）、B组（20～29岁）、C组（30—39岁）、D组（40—49岁）、E组（50—59岁）、F组（≥60岁）进行筛查，筛查方法采用液基细胞学技术结合The Bethesda System（TBS）报告系统，结果异常者进行阴道镜下宫颈活检病理检查，确诊宫颈病变及宫颈癌。结果823例中宫颈癌前病变[包括宫颈上皮内瘤变（cervical intra—epithelial neoplasia，CIN）I、CINⅡ、CINⅢ或原位癌]39例，占4．74％，早期浸润癌4例，占0．49％。其中C组癌前病变16例，早期浸润癌3例，D组癌前病变13例，早期浸润癌1例。6组不同年龄组间宫颈癌发病率比较，差异有统计学意义（P〈0．05）。结论本研究中宫颈癌前病变及早期宫颈癌高发年龄在30—49岁，并趋向于30—39岁间，应高度重视宫颈癌机会性筛查，早期发现并及时治疗癌前病变，有效阻止宫颈癌的发生，提高广大妇女的生存质量。

The analysis of the results about opportunistic screening for cervical cancer in 823 cases

Objective To prevent and treat cervical cancer through detecting cervical precancerous lesions and early cervical cancer. Methods The data from the results about opportunistic screening （OS） for cervical cancer in 823 outpatients of the departments of obstetrics and gynecology in Neijiang traditional Chinese medicine hos- pital from July 2008 to July 2009 was analyzed. The patients were divided into six groups by their age： group A （ un- der the age of 19 ）, group B （20 - 29 years old）, group C （30 - 39 years old）, group D （40 - 49 years old）, group E （50 - 59 years old）, group F （above the age of 60 ）. Liquid -based cytology technologies and TBS reporting system were applied together for OS and the patients with abnormal results were under eervieal biopsy by the colposcopy. The result about cervical lesions or cervical cancer was confirmed pathologically. Results There were 39 cases （4.74%） with cervical precancerous lesions including cervical intra - epithelial neoplasia （CIN） Ⅰ ,Ⅱ,Ⅲ or the carcinoma in situ and 4 cases（0.49% ） with invasive carcinoma. There were 16 cases of cervical precancerous lesions and 3 case of invasive carcinoma in group C and 13 cases of cervical precancerous lesions and 1 case of invasive carcinoma in group D. There was significant difference among six groups （ P 〈 0.05）. Conclusion There was high risk of cervical precancerous lesions and early cervical cancer at the age from 30 to 49, especially the age of 30 to 39. The opportunistic screening for cervical cancer should be paid more attention to prevent and treat cervical cancer through detecting cervical precancerous lesions and early cervical cancer. The incidence of cervical cancer should be prevented effectively and the quality of life of women should be improved.