宫颈细胞学检查在农牧区妇女病普查中的价值

Value of Cervical Cytology in Gynecological Diseases Census in Agricultural and Pastoral Areas

目的探讨宫颈细胞学检查在妇女病普查中的临床应用价值。方法对4532例海西州德令哈市农村已婚育龄妇女进行妇女病普查,均做宫颈刮片细胞学检查。结果 4532例妇女宫颈刮片标本,其中不典型鳞状细胞77例,患病率为1.7%,不排除上皮内高度病变10例,患病率为0.22%,鳞状上皮内低度病变2例,患病率为0.04%,89例患者做进一步检查后,目前未发现癌前病变。宫颈疾病检查结果显示:宫颈肥大454例,患病率为10.02%,宫颈糜烂348例,患病率为7.68%;宫颈纳囊111例,患病率为2.45%;宫颈息肉32例,患病率为0.71%。结论宫颈细胞学检查用于宫颈病变筛查,可提供早期发现宫颈癌变和癌前病变的信息,做到早发现、早预防、早治疗,在农村、牧区妇女病普查中具有重要的临床实用价值。

Objective To discuss the clinical application value of cervical cytology screening in gyneco- logical diseases census. Methods Cervical smear cytology was done on 4532 married reproductive women in the rural area of Haixizhou Delingha city for gynecological diseases census. Results Among the 4532 patients with cervical smear specimen, there were 77 cases （ 1.7% ） of ASC-US10 cases （0. 22% ） of ASC-H,2 cases（0.04% ） of LSIL level,premalignant lesion was not found in the 89 patients after further inspection so far. Cervical disease screening results：cervical hypertrophy 454 cases forming a prevalence rate of 10.02% ;cervical erosion of 348 cases forming a prevalence rate ofT. 68% ;cervical satisfied capsule 111 cases ,forming a prevalence rate of 2.45% ;3：2 cases of cervical polyp, forming a prevalence rate of 0.71%. Conclusion Cervical cytology used for screening of cervical lesions, can provide information for the early detection of cervical cancer and precancerous lesions change, early discovery, early prevention and early treat- ment have important clinical practical value for gynecological disease census in rural and pastoral area.