王连华, 毛燕燕, 施文平, 李敏. 浙江省台州农村地区妇女宫颈癌三阶梯横断面调查[J]. 疾病监测, 2013, 28(6): 474-477. DOI: 10.3784/j.issn.1003-9961.2013.6.015
引用本文: 王连华, 毛燕燕, 施文平, 李敏. 浙江省台州农村地区妇女宫颈癌三阶梯横断面调查[J]. 疾病监测, 2013, 28(6): 474-477. DOI: 10.3784/j.issn.1003-9961.2013.6.015
WANG Lian-hua, MAO Yan-yan, SHI Wen-ping, LI Min. Cross-sectional study of cervical cancer with three step examination in rural women in Taizhou, Zhejiang[J]. Disease Surveillance, 2013, 28(6): 474-477. DOI: 10.3784/j.issn.1003-9961.2013.6.015
Citation: WANG Lian-hua, MAO Yan-yan, SHI Wen-ping, LI Min. Cross-sectional study of cervical cancer with three step examination in rural women in Taizhou, Zhejiang[J]. Disease Surveillance, 2013, 28(6): 474-477. DOI: 10.3784/j.issn.1003-9961.2013.6.015

浙江省台州农村地区妇女宫颈癌三阶梯横断面调查

Cross-sectional study of cervical cancer with three step examination in rural women in Taizhou, Zhejiang

  • 摘要: 目的 了解浙江省台州市农村地区妇女宫颈癌及癌前病变的发病现状,为该地区宫颈癌防治提供依据。 方法 于2012年6-12月对台州市海门、白云街道35~59岁妇女开展三阶梯宫颈癌筛查,即妇科、阴道分泌物、宫颈脱落细胞检查,脱落细胞检查结果可疑或异常者行阴道镜检查,阴道镜检查结果可疑或异常者再进一步宫颈多点活检后行组织病理学诊断。 结果 筛查6639人,筛查率65.58%,宫颈脱落细胞液基薄层细胞检测(TCT)阳性226例(3.40%)。147例(65.04%)TCT阳性妇女进行了宫颈组织细胞学检查,检出宫颈癌7例(4.76%),宫颈癌前病变56例(38.10%);宫颈癌前病变、宫颈癌在高度鳞状上皮内病变(HSIL)阳性妇女中检出率最高(63.33%,P0.01);宫颈癌前病变、宫颈癌分别在35~49岁、50~59岁TCT阳性妇女中检出率较高,但差异无统计学意义(P0.05)。 结论 台州市农村地区不同年龄阶段妇女宫颈癌及癌前病变患病率均较高,但筛查率低,尤其是低年龄组妇女(35~49岁),需进一步加强宫颈癌防治宣传教育,提高宫颈癌筛查率。

     

    Abstract: Objective To understand the prevalence of cervical cancer and precancerous lesions in women in rural area in Taizhou, Zhejiang province, and provide evidence for the prevention and control of cervical cancer. Methods Examination of gynecology, vaginal secretion and castoff cells were carried out among 35-49 years old women in the rural area in Taizhou during June-December 2012. Then vaginoscopy was done among the women with suspect or abnormal results of castoff cells examination. And then histopathologic diagnosis was done among the women with suspect or abnormal results of vaginoscopy. Results A total of 6639 women received screening, accounting for 65.58% of the total women in this age group. Abnormal castoff cells were found in 226 women (3.40%). Among them 147 (65.04%) received histopathologic diagnosis. Cervical cancer was detected in 7 women (4.76%), and precancerous lesions were found in 56 women (38.10%). The rate of cervical cancer or precancerous lesions was highest among HSIL positive women (63.33%,P0.01). In women with abnormal castoff cells, the rate of precancerous lesions among those aged 35-49 years and the rate of cervical cancer among those aged 50-59 years were high, the difference had no significance (P0.05). Conclusion The prevalence of cervical cancer and precancerous lesions were high among rural women in Taizhou, but the screening rate was low, especially among women aged 35-49 years. Health education about prevention and control of cervical cancer should be strengthened to increase the screening rate.

     

/

返回文章
返回