宫颈癌机会性筛查的临床价值

Clinical Value of Cervical Cancer Opportunistic Screening

目的分析研究宫颈癌机会性筛查的意义及临床价值。方法以我院2007年11月至2010年11月在妇科门诊对前来就诊的患者进行宫颈癌机会性筛查研究。接受筛查对象均进行液基细胞学检查,细胞学异常行HPV结合阴道镜检查。并以患者进行活检组织病理学诊断作为宫颈癌的定性诊断。结果 2402例患者愿意接受筛查,顺应性为98.84%;液基细胞学阳性检出率为11.65%;阴道镜检查感染率为33.21%;病理活检阳性率为21.23%。将此次研究与2003～2005年的研究进行比较,存在明显差异(P<0.05)。结论通过对患者宫颈癌的机会性筛查,有效地提高了防治效果及群众对宫颈癌的认知度,对宫颈癌的早期诊治具有十分重要的意义,值得临床推广。

Objective To analyze the significance and clinical value of opportunistic screening in cervical cancer.Methods Patients in gynecologic clinic from Nov.2007 to Nov.2010 were given opportunistic screening of cervical cancer.All of them were performed liquid-based cytology examination.Those with abnormal cytology were given HPV combined with colposcopy examination.Pathological diagnosis of biopsy tissues were regarded as qualitative diagnosis of cervical cancer.Results 2402 patients were willing to take screening,the compliance was 98.84%;liquid-based cytology detection rate was 11.65%;colposcopy examination infection rate was 33.21%;pathologic biopsy positive rate was 21.23%.Compared with the results of 2003-2005,the difference was statistically significant,P0.05.Conclusion Opportunistic screening can effectively improve cognition degree of cervical cancer.It has very important significance to the early diagnosis and treatment of the disease,which is worth of spreading in clinic.