在农村妇女中开展宫颈癌筛查的临床研究

目的:探讨对农村妇女进行宫颈癌筛查的必要性。方法:应用宫颈刮片细胞学检查连续对妇科门诊1050名就诊患者进行宫颈癌机会性筛查[1]和下乡入户对农村2450名妇女进行宫颈癌普遍性筛查。结果:妇科门诊就诊患者中宫颈刮片细胞学检查结果异常(巴氏Ⅲ级及以上)者47例,后经宫颈活组织检查证实为宫颈上皮内瘤变(C IN)7例,宫颈鳞状上皮细胞癌6例,宫颈慢性炎症34例;农村妇女普查中宫颈刮片细胞学检查结果异常(巴氏Ⅲ级及以上)者17例,后经宫颈活组织检查证实为宫颈上皮内瘤变(C IN)6例,宫颈鳞状上皮细胞癌4例,宫颈慢性炎症7例。门诊组与普查组宫颈癌筛查结果异常率差异有显著性。结论:积极对农村妇女进行普遍性宫颈癌筛查可及早发现宫颈癌前病变、宫颈癌,做到早诊断、早治疗,预防并降低宫颈癌的发生。

Clinical results of cervical carcinoma screening among rural women

Objective: To investigate the necessity of cervical carcinomal screeing among the rural women.Methods: Ludiancentral Hospital randomly and successively screened 1050 outpaients of gynae clinic and generally screened 2450 rural women respectively via cervical pap smear of cytology for the possibility of Cervical Carcinoma.Results: 47cases were found with abnormal pap smear(grade Ⅲ) of the former group,of which,examined and confirmed by Cervical Carvinoma_Screening Organization,7 cases were CIN,6 cases were squamous cervical epithelium cancer(SCEC),and 34 cases were chronic cervieitis(CC);of the latter group 17 cases were found with abnormal pap smear(grade Ⅲ),with 6 cases of CIN,4 cases of SCEC and 7 cases of CC.The difference between the two groups of cervical carcinoma screening is of great salience.Conclusion: Proactiue Cervical Carcinoma Screening among rural women is helpful in diagnosing,treating,preventing and reducing precancerous lesion of cervix uteri as well as cervical carcinomal.