城市社区妇女宫颈癌筛查模式的实践与探讨

Application and significance of screening for cervical carcinoma in urban communities

目的:探讨社区妇女宫颈癌筛查模式在欠发达小城市的创建及意义。方法:以丽水市万象社区作为研究点,随机抽取符合筛查标准的妇女,建立档案-专职人员-宣教-取样-联系医疗机构-督促、随访的社区宫颈癌筛查模式,并与同期妇科门诊妇女筛查结果进行比较,观察其筛查顺应性、治疗率、诊断及治疗时效符合率。结果:研究组通过筛查最后确诊宫颈病变的比例为1.50%,对照组为1.34%,两组间差异无显著性。两组HC-II筛查的阳性率均高于TCT筛查。两组的筛查顺应性均为100%,而研究组的诊断时效符合率、治疗率和诊治时效符合率均显著高于对照组(P<0.001)。结论:城市社区妇女宫颈癌筛查模式使妇女参加筛查和后续诊治的依从性均明显增加,值得进一步推广。

Objective To explore different modes of cervical carcinoma screening in communities and to find an effective screening mode. Methods A screening mode of file--full--time staffs-- education--sampling--contact with medical institutions--follow--up was used in Wangxiang Community. The compliance of screening, treatment rate, diagnostic and therapeutic accordance rate were assessed and compared with the data from outpatient screening in Lishui Hospital of Maternal and Child Care. Results The diagnostic rate of cervical diseases after screening in community women was 1. 50 %, while the rate in outpatient women was 1.34 %. The difference between them was not significant. The abnormality rate of HC-II screening was higher than TCT screening in the two groups. Both the screening compliance rates of women in urban communities and that of outpatients were 100%. The treatment rate, diagnostic and therapeutic accordance rate using community screening mode were significantly higher than those of outpatient screening. Conclusion The cervical cancer screening mode adopted in urban communities is a better mode,which is worthy of popularization.