宫颈癌医院机会筛查结果分析

Analysis of hospital opportunistic screening results of cervical cancer

目的:研究宫颈癌在本地区的发病状况及相关危险因素,以便积极预防。方法:对2010年1月至2013年12月我院所作宫颈液基细胞学(TCT)筛查及活检诊断为宫颈上皮内瘤变(CIN)Ⅲ及宫颈癌患者的资料进行分析,观察其发病趋势和年龄特征。将上述诊断为CINⅢ及宫颈癌的患者149例作为研究组,选取同期宫颈炎患者149例为对照组,通过比较研究宫颈癌患者一般情况及相关危险因素。结果:本资料4年CINⅢ及宫颈癌检出率分别为1.79%、0.93%、0.80%、0.70%。宫颈癌的相关危险因素是高危型HPV感染、初次性生活年龄<20岁、性生活年限在10年以上、外出务工年限>6年。结论:由于TCT筛查的普及,宫颈癌的检出率在本地区呈下降趋势。预防宫颈癌应提倡使用安全套,避免过早性生活,定期做好妇女病普查,加强对外出务工妇女的健康管理。

Objective： To study the incidence of cervical cancer in the local area and the related risk factors, so as to actively prevent the disease. Methods： Patients undergoing liquid based thinprep cytologic test （TCT） screening in our gynecology department and diagnosed with the cervical intraepithelial neoplasia （CIN） Ⅲ and cervical cancer by colposcopic cervical biopsy pathology during Jan. 2010 to Dec. 2013 were enrolled, 149 patients as a study group with the cervical CIN m and cervical cancer, and anther 149 patients as a comparative group with cervicitis. We have analyzed and observed the incidence trends and age characteristics of these patients. Results： During 2010 to 2013 ,the detection rates of cervical CINⅢ and cervical cancer respectively were 1.79% ,0. 93%, 0. 80% and 0. 70%. The related risk factors of cervical cancer were High-risk HPV infection, first sex before 20 years old, sexual life for more than 10 years, being migrant workers for more than 6 years. Conclusion： Due to the popularity of cervical cytology screening, cervical cancer has a downward tendency in the local area. To prevent cervical cancer, we should promote the use of condoms, avoid premature sexual life, regularly take gynaecologic examinations, and strengthen the health management of migrant women workers.