2009-2013年广州北部山区妇女宫颈癌筛查结果分析

Analysis about cervical cancer screening results of women in Guangzhou northern mountainous area from 2009 to 2013

目的 分析广州市北部山区农村适龄妇女宫颈癌筛查率、检出率、早诊率状况.方法 采用流行病学回顾性研究方法,对2009至2013年广州北部山区农业户籍35～64岁妇女的宫颈癌筛查结果进行分析.结果 本次宫颈癌筛查62 147例,宫颈癌筛查平均年龄48.65岁,宫颈癌筛查率为110.76％（62 147/56 112）.宫颈癌筛查检出宫颈上皮内瘤变（CINⅡ、CINⅢ/原位癌）＋Ⅰa期宫颈癌病变检出率135.16/10万（84/62 147）,宫颈癌及癌前病变（CINⅡ、CINⅢ）检出率为156.08/10万（97/62 147）,其中宫颈癌检出率为20.92/10万（13/62 147）.宫颈癌的早诊率为86.60％（84/97）.结论 山区适龄妇女生殖健康状况不容忽视,应定期开展宫颈癌筛查,早期发现并治疗宫颈癌前病变,提高妇女健康水平.

Objective To analyze screening rate,detection rate,early diagnosis rate about cervical cancer of rural women in Guangzhou northern mountainous area.Method By using the epidemiological retrospective method,studied cervical cancer screening results of agricultural census register 35 ～ 64 years old women in Guangzhou northern mountainous area from 2009 to 2013.Results A total of 62,147 women attended the screening with an average age of 48.65 years old.The screening rate of cervical cancer was 110.76% （62,147/56,112）.The detectable rate of CIN Ⅱ and above precancerous lesions and] a period of cervical lesions was 135.16/100,000 （84/62,147）.The detectable rate of CIN Ⅱ and above precancerous lesions and cervical cancer was 156.08/100,000 （97/62,147）.The detectable rate of cervical cancer was 20.92/100,000 （13/62,147）.The early diagnosis rate was 86.60% （84/97）.Conclusion Rural women＇s reproductive health are not allowed to ignore.Regular cervical cancer screening should be carried out for early detection and treatment of precancerous lesions and to improve women＇s health.