广东省农村妇女宫颈癌筛查管理模式对筛查效果的影响

Study on the management mode of cervical cancer screening in rural areas of Guangdong province

目的评估宫颈癌筛查模式的改变对筛查效果的影响。方法选择广东省2013年1月-2014年12月参与宫颈癌筛查的35~64岁农村妇女,2013年采用的筛查模式为机构自行完成所有筛查,2014年统一委托第三方机构承担宫颈癌集中检验服务。采用宫颈癌检出率、宫颈癌癌前病变检出率、阴道镜检查随访率、宫颈组织病理学检查随访率等指标评估不同筛查模式的筛查效果。结果两组筛查模式比较,委托第三方机构集中检验服务的筛查模式的宫颈癌检出率、宫颈癌癌前病变检出率、阴道镜检查随访率、宫颈组织病理学检查随访率明显高于机构自行完成的筛查模式,两组比较差异有统计学意义(P<0.05)。结论委托第三方机构承担集中检验服务的筛查模式,统一了筛查方法和质控标准,对提高宫颈癌筛查质量具有重要作用,是一种可以借鉴的宫颈癌筛查模式。

Objective To evaluate the change of cervical cancer screening modes on the effect. Methods During January 2013 to December 2014,rural women aged 35-64 years and participated in cervical cancer screening were selected. In 2013,all the screening institutions completed the screening themselves. In 2014,the third party agency undertook the testing services. The detection rate of cervical cancer and precancerous lesion,the follow-up rate of colposcopy examination and histopathological examination were used to evaluate the effects of different screening models. Results The detection rate of cervical cancer and precancerous lesion,the follow-up rate of colposcopy examination and histopathological examination in the third party agency undertaken model was higher than those in the screening institutions completing model（P 0. 05）. Conclusion The model of the third party agency undertaking the screening unified the screening method and quality control standard. It is important to improve the quality of cervical cancer screening by the third party agency undertaking the screening. The model can be used for reference in future.