三亚地区妇科门诊患者宫颈癌筛查现状及分析

Screening cervical cancer in Sanya gynecological outpatients

目的调查三亚地区妇科门诊患者对宫颈癌的认知和筛查情况。方法选取2012年7-10月就诊于解放军总医院海南分院(三亚)妇科门诊的患者660例,进行宫颈癌认知和筛查的问卷调查。结果共660例患者接受问卷调查,其中303例(45.91%)接受过宫颈癌筛查:包括巴氏涂片、液基细胞学检查(thinprep cytologic test,TCT)、高危型人乳头瘤病毒(HPV)定量检测;172例(26.06%)接受过TCT;83例(15%)知晓HPV意义及接受过HPV定量检测;120例外地短期居住人群(每年连续居住<6个月),宫颈癌的筛查次数普遍多于三亚本地长期居住人群(P<0.05)。结论三亚地区妇科门诊患者对宫颈癌筛查的认知水平及检测率不高,应定期广泛开展宫颈癌相关知识和筛查的宣教。

Objective To screen the cervical cancer in Sanya gynecological outpatients and investigate their awareness of it. Methods Cervical cancer was screened with questionnaire in gynecological outpatients who visited Hainan branch of Chinese PLA General Hospital from July 2012 to October 2012. Results Of the 660 outpatients who received the questionnaire investigation of cervical cancer, 303 （45.91%） received Papanicolaou’s vaginal smear, thinprep cytologic test （TCT） and HPV-DNA quantitative test, 172 （26.06%） received TCT, 83 （15%） received HPV-DNA quantitative test. The incidence of cervical cancer was significantly higher in 120 gynecological outpatients from other places who lived in Sanya for less than 6 consecutive months than in Sanya permanent residents （P ＜ 0.05）. Conclusion The awareness level and detection rate of cervical cancer and HPV are not high in Sanya gynecological outpatients, cervical cancer-related knowledge and screening should thus be popularized.