沂蒙山区农村妇女子宫颈癌筛查结果

SCREENING RESULTS OF CERVICAL CANCER IN THE RURAL WOMEN OF YIMENG MOUNTAIN AREA

目的研究沂蒙山区农村妇女宫颈病变情况。方法对30128例普查妇女进行宫颈液基细胞学检查,其中930例阳性者行阴道镜检查及宫颈多点活检组织病理学检查,并结合文献进行分析。结果 30128人中,宫颈细胞学检查未见上皮内病变或恶性病变(NILM)者29198人,占96.91%;ASCUS及以上者930人,占3.09%。其中ASCUS 627人,占67.42%;ASC-H 17人,占1.83%;LSIL192人,占20.65%;HSIL 79人,占8.49%;鳞状细胞癌(SCC)15人,占1.61%。阴道镜活检病理检查慢性宫颈炎517例(55.59%),CIN I 140例(15.05%),CINⅡ51例(5.48%),CINⅢ40例(4.30%),浸润癌19例(2.04%)。35～40岁是各种宫颈上皮内瘤变的高发年龄,其次是41～45岁。结论沂蒙山区农村妇女子宫颈癌发病率较高,宫颈病变好发年龄为35～45岁,呈年轻化的趋势。

Objective To study the situation of cervical cancer in the rural women of Yimeng Mountain Area. Methods 30128 women surveyed by census were examined by liquid-based cervical cytology technique,of which 930 positive eases underwent colposcopy and cervical biopsy. Results The cervical cytology screening revealed that in the 30128 cases, 29198 eases （96.91% ） suffered from neither intraepithelial pathological changes or malignant disease. 930 cases of ASCUS and other cervical lesions（3.09% ） were found, of which the incidence rates of AS- CUS, ASC-H LSIL, HSIL and SCC were 67.42%, 1.83%, 20.65%, 8.49% and 1.61% respectively. The col- poscopic biopsy results showed that the number of chronic cervicitis, CIN I , CIN II, CIN III and infiltrating carci- noma were 51 （55.59%）, 140 （ 15.05% ） , 51 （5.48%） , 40 （4.30% ）, 19 cases （2.04%）respectively. The cervical intraepithelial neoplasia mainly occurred in women aged 35-40, followed by women aged 41-45. Conclu- s/on The incidence of cervical cancer is high in the rural women aged 35-45 in Yimeng Mountain Area.