恩施州2008～2011年9647例宫颈刷片结果分析

Results analysis of 9647 cases of cervical brushing in Enshi Autonomous Prefecture from 2008 to 2011

目的分析湖北民族地区妇科宫颈病变发病特点及趋势。方法采用液基细胞学（TCT）方法检测9 647例宫颈刷片,并与病理活检进行对比分析。结果 TCT检出鳞状上皮异常1 184例（12.62%）,其中,不典型鳞状上皮细胞（ASC）876例,鳞状上皮内病变（SIL）282例,鳞状细胞癌（SCC）26例。TCT与病理组织学的宫颈癌检测符合率为92.88%。宫颈癌发病年龄在30~39岁和50~59岁呈现双峰现象。结论湖北民族地区妇科宫颈病变发病率逐年上升,宫颈癌前病变和宫颈浸润癌检出率均高于其他地区。

Objective To analyze the incidence characteristic and trend of gynecological cervical lesion in Ethnic Autonomous Prefecture of Hubei Province.Methods The thinprep cytology test（TCT） was adopted to detect 9 647 cases of cervical brushing,then the results were compared to the pathological biopsy.Results 1 184 cases（12.62%） with abnormal squamous epithelium were checked out by TCT,including 876 cases of atypical squamous cells（ASC）,282 cases of squamous intraepithelial lesions（SIL） and 26 cases of squamous cell carcinoma（SCC）.The coincidence rate of TCT and histopathology was 92.88% for cervical carcinoma detection.The high incidence age of cervical carcinoma was from 30-39 years old and 50-59 years old,which presented bimodal phenomena.Conclusion The incidence of gynecological cervical lesions in Ethnic Autonomous Prefecture of Hubei Province increased year by year,and the detection rates of cervical precancerous lesion and cervical invasive carcinoma in Ethnic Autonomous Prefecture are both higher than those in other areas.