2016年葫芦岛市农村妇女宫颈癌筛查结果分析

Analysis of Screening Results of Cervical Cancer Among Rural Women in Huludao in 2016

目的分析2016年葫芦岛市农村妇女筛查宫颈癌情况,争取对农村妇女宫颈癌做到早发现、早治疗,为预防宫颈癌提供依据。方法利用三级妇幼网络,村级妇女主任配合防保人员,召集农村35-64岁的已婚妇女到指定宫颈癌筛查机构进行免费妇科检查,阴道及宫颈分泌物检查、宫颈脱落细胞检查,妇科检查和脱落细胞检查异常者行阴道镜检查和组织病理学检查。每季度将数据收集、上报。结果 2016年共筛查农村妇女总数14625例,其中生殖道感染发病率占13.61%;宫颈脱落细胞学检查及以上异常病例检出率为3.73%;检出宫颈癌前病变和宫颈癌139例,宫颈癌前病变检出率为88.89/10万,宫颈癌9例,宫颈癌检出率为6.15/10万;宫颈癌病变治疗51例,宫颈癌病变治疗率为36.69%。结论宫颈癌筛查是早期发现宫颈癌前病变和宫颈癌的重要手段,所以要形成以政府主导,多部门相配合的模式,加大宣传力度,提高农村妇女对宫颈癌筛查的认知度,达到有效降低宫颈癌的发病率。

Objective To analyze the situation of cervical cancer screening among rural women in Huludao in 2016,and to provide evidence for early detection and early treatment of cervical cancer in rural women. Methods Using three levels of maternal and child network,with the village director of the women＇s health workers,called 35 married women to 64 years old in rural to the specified cervical cancer screening mechanism for free gynecological examination,vaginal and cervical cytology examination,cervical secretions,gynecological examinationand cytology abnormal colposcopy and histopathological examination. Collect and report data quarterly. Results 14625 cases were screened in 2016 the total number of rural women,the incidence rate of 13. 61% of the reproductive tract infection; cervical cytology and more abnormal case detection rate was 3. 73%; the detection of cervical precancerous lesions and 139 cases of cervical cancer and cervical precancerous lesion detection rate of 88. 89/100 thousand,9 cases of cervical cancer,the detection rate of cervical carcinoma 6. 15/100 thousand; cervical lesion in treatment of 51 cases of cervical lesions,the treatment rate was36. 69%. Conclusions Cervical cancer screening is an important means of cervical precancerous lesions and cervical cancer early detection,so as to form a government led,with many departments,intensify propaganda,improve the rural women＇s awareness of cervical cancer screening,can effectively reduce the incidence of cervical cancer.