【摘要】 目的研究了解清远市农村贫困妇女中宫颈癌前病变及子宫颈癌发病情况。方法对2015—2017年三年清远市64岁以下本市户籍已婚的农村贫困妇女分别有17 669人、16 197人、16 424人共50 290人进行宫颈癌筛查,主要用宫颈脱落细胞检查的方法,采用TBS描述性诊断报告进行初筛,初筛异常者进行阴道镜及组织活检确诊。结果 2015年CINⅠ级86例,患病率48. 8/万,CINⅡ级24例,患病率13. 6/万,CINⅢ级26例,患病率14. 7/万,宫颈癌8例,患病率4. 5/万; 2016年CINⅠ级26例,患病率16. 1/万,CINⅡ级28例,患病率17. 3/万,CNIⅢ级41例,患病率25. 3/万,宫颈癌6例,患病率3. 7/万; 2017年CINⅠ级22例,患病率13. 4/万,CINⅡ级11例,患病率6. 7/万,CNIⅢ级29例,患病率17. 7/万,宫颈癌3例,患病率1. 8/万。45～54岁妇女宫颈癌患病率最高,不同年龄段宫颈癌前病变患病率存在显著性差异(P <0. 05)。结论连续三年对清远市农村贫困妇女开展宫颈癌筛查,结果 2015年与2016年、2017年比较均有统计学差异(P <0. 05),2016年与2017年比较无统计学差异,45～54岁妇女宫颈癌患病率最高,不同年龄段宫颈癌前病变患病率存在显著差异(P <0. 05),筛查工作取得成效,开展农村妇女宫颈癌筛查能够早发现、早诊断、早治疗宫颈癌。更多还原

【Abstract】 Objective To study the situation of cervix precancerous lesions of rural poverty women in Qingyuan City. Methods To conduct cervical cancer screening to a total number of 50,290 rural poverty women in Qingyuan City from2015 to 2017. The cervical exfoliated cell examination method is mainly applied. TBS descriptive diagnosis report was applied to conduct primary screening. Patients were diagnosed as abnormal in primary screening would be treated with colposcope and tissue biopsy for further confirmation. Results In 2015,86 cases were CIN grade I,prevalence rate was 48. 8/10,000,24 cases were CIN grade II,prevalence rate was 13. 6/10,000,26 cases were CIN grade III,prevalence rate was 14. 7/10,000,8 cases were cervical cancer,prevalence rate was 4. 5/10,000; In 2016,26 cases were CIN grade I,prevalence rate was16. 1/10,000,28 cases were CIN grade II,prevalence rate was 17. 3/10,000,41 cases were CIN grade III,prevalence rate was 25. 3/10,000,6 cases were cervical cancer,prevalence rate was 3. 7/10,000; In 2017,22 cases were CIN grade I,prevalence rate was 13. 4/10,000,11 cases were CIN grade II,prevalence rate was 6. 7/10,000,29 cases were CIN grade III,prevalence rate was 17. 7/10,000,3 cases were cervical cancer,prevalence rate was 1. 8/10,000. Women in age group45-54 years old have the highest prevalence rate of cervical cancer. There is a significant difference between cervix precancerous lesions prevalence rates of different age groups( P < 0. 05). Conclusion The cervical cancer screening was conducted to rural impoverished women in Qingyuan City for 3 years in a row. To compare the results from 2015 with those from 2016 and 2017 respectively,there were both statistical differences( P < 0. 05); there was no statistical difference between the results from 2016 and those from 2017. Women in age group 45 ～ 54 have the highest prevalence rate of cervical cancer. There is a significant difference between cervix precancerous lesions prevalence rates of different age groups( P < 0. 05). To conduct cervical cancer screening to rural impoverished women is very useful in discovering and diagnosing cervical cancer and carrying out treatment to it earlier.更多还原