2012年我国农村妇女宫颈癌检查状况分析

Analysison the status of cervical cancer Screening for rural women in 2012

目的分析我国农村妇女宫颈癌检查项目工作现状。方法利用全国重大公共卫生项目＂两癌＂检查项目信息直报系统,对2012年宫颈癌检查上报数据进行分析。结果 2012年全国对35~64岁的农村妇女进行宫颈癌检查10 621 482例,任务完成率106.2%,其中东、中、西部任务完成率分别为97.2%、112.9%及102.4%。检查人群中,81.76%的妇女既往从未接受过宫颈癌检查。运用宫颈细胞学检查及醋酸/碘染色（VIA/VILI）方法进行初筛的比例分别为77.17%和18.55%。在宫颈细胞学检查中,运用TBS描述性报告阅片的比例为65.49%,巴氏分级报告的比例为34.51%。宫颈细胞学检查结果异常或可疑病例检出率为3.93%,醋酸/碘染色检查结果异常或可疑病例检出率为11.05%。宫颈癌初筛检查的可疑/异常人群中,分别有17.01%、9.66%的妇女未接受阴道镜及病理学检查。宫颈癌前病变（CINII、III）及宫颈癌检出率124.87/10万、早诊率89.60%。结论多数地区应用宫颈细胞学检查方法作为宫颈癌初筛检查手段,但应用TBS报告结果的比例和异常结果检出率尚需进一步提高,亟需加强参与宫颈癌检查的相关人员技术培训及可疑/阳性人群的管理,进一步提高宫颈癌检查效果。

Objective To analyze the current situation of cervical cancer screening for rural women. Methods Using national screening project for cervical cancer and breast cancer information system to analyze the 2012 report data in cervical cancer screen.Results In 2012,1 000 000 rural women aged 35-64 should be screened for cervical cancer in China,the actual screening number was 10 621 482,the mission completion rate was 106. 21%. The completion rates of the eastern,central and western regions were97. 17%,112. 92% and 102. 35%. 81. 76% of screening population have never obtained cervical cancer screen before. The percentage of primary screening method using was 77. 17% by cervial cytological examination and 18. 55% by visual inspection with acid（ VIA） and Lugol’s iodine（ VILI）. The rate of cervial cytological report which using classification of the pap and the Bethesda system was 65. 49% and 34. 51%,respectively. The abnomal rate of cervial cytological examination was 3. 93%,while the abnomal rate of VIA / VILI was 11. 05%. The rate in abonrmal population which didn’t receive colposcopy and pathology examination were17. 01% and 9. 66%,respectively. Detection rate of CINII / III and cervical cancer was 124. 87 /100 000,and the early detection rate was 89. 6%. Conclusion Most of project areas use cervial cytological examination to be the primary screening method,but the percentage of cervial cytological report in the Bethesda system and the abnomal rate should be increased Technology training and the management of abnomal people should be strengthened so as to impove the screening level.