北京市房山区部分地区妇女宫颈病变筛查现状

Status of cervix lesion screening of women living in parts of Fangshan district of Beijing city

目的探讨2009年—2010年宫颈细胞学筛查北京市房山区部分地区的育龄妇女宫颈病变的现状及临床意义。方法 2009年—2010年对北京市房山区部分地区的17 218例28岁～67岁有性生活妇女进行宫颈病变筛查,行传统宫颈巴氏涂片法,用TBS诊断系统进行分析,作出诊断。并对宫颈细胞学异常者[≥低度鳞状上皮内病变(LSIL)]建议行阴道镜检查及活检。结果 17218例妇女中宫颈细胞学阳性(≥ASCUS)者424例,占2.5%(424/17 218),其中ASCUS者290例,占68.4%(290/424),ASC-H者33例,占7.8%(33/424),低度鳞状上皮内病变(LSIL)者68例,占16.0%(68/424),高度鳞状上皮内病变(HSIL)者20例,占4.7%(20/424),鳞状细胞癌者1例,非典型腺上皮细胞者12例,占2.8%(12/424)。结论北京市部分郊区妇女宫颈病变的阳性率略低于国内部分乡镇地区,但是和其他发达国家相比,还有一定的差距。因此,为降低该地区宫颈癌的发病率,还须依赖于长期持续的筛查和医疗机构、政府的支持。

Objective To analyze the status and clinical significance of cytology in cervix lesion screening of women living in parts of Fangshan district of Beijing.Methods 17218 women aged from 28 to 67 from Fangshan district of Beijing were screened for cervix lesion.The conventional cervix pap smear and the TBS diagnostic system was used for analysis and diagnosis.Colposcopy and biopsy were conducted in women with positive cytology.Results Among the 17 218 women,the positive rate of cytology（≥ASCUS） was 2.5%（424/17 218）.Among the 424 positive cases,the rate of ASCUS was 68.4%（290/424）,ASC-H was 7.8%（33/424）,LSIL was 16.0%（68/424）,HSIL was 4.7%（20/424）,atypia glandular epithelium was 2.8%（12/424）and the case of squamous cancer was only one.Conclusion The positive rate of cervix lesion in Beijing is lower than other district however it ＇s higher than which of developed nation.Enhance the publicity of the risk factor of uterine cervix cancer and make them knows the value of early screening.Early discovery,diagnosis and therapy may depress the disease incidence of uterine cervix cancer.