江苏省南通市通州区农村妇女宫颈癌筛查结果分析

Analysis of Screening Results of Cervical Cancer in Rural Women in Tongzhou District, Nantong City, Jiangsu Province

目的分析江苏省南通市通州区农村妇女宫颈癌筛查结果。方法选择2017年6—8月妇女3 867例作为宫颈癌筛查对象,应用宫颈癌知识问卷调查表进行问卷调查,行妇科常规检查及宫颈脱落细胞学检查,对发现宫颈肉眼异常及宫颈细胞学异常者,予预约阴道镜进一步检查。结果妇科检查3867例发现异常438例(11.33%),其中宫颈病变(宫颈赘生物)75例(17.12%)、阴道疾患301例(68.72%)、盆腔疾患62例(14.16%)。宫颈脱落细胞学检查异常或可疑124例(3.22%),其中包括ASC-US 76例,LISL 32例,HISL 5例,ASC-H 11例。阴道镜检查335例,发现异常64例(19.10%)。阴道镜异常64例进行组织病理学发现异常22例(34.38%),其中宫颈上皮内瘤变(CIN)20例,宫颈浸润癌2例(0.05%)。宫颈癌疾病相关知识知晓2 986例(77.22%)、部分知晓364例(9.41%)、不知晓517例(13.37%)。结论常规妇科检查+宫颈脱落细胞及阴道镜下组织活检行病理检查,可确定宫颈上皮内瘤变级别,为患者确定下一步治疗措施提供依据。

Objective To analyze the cervical cancer screening results of rural women in Tongzhou District, Nantong City, Jiangsu Province. Methods From June to August 2017, 3 867 women were selected as cervical cancer screening subjects. Questionnaire survey was conducted using the cervical cancer knowledge questionnaire. Gynecological routine examination and cervical exfoliative cytology were performed to detect cervical abnormalities and cervical cytology. If you are abnormal, please check the colposcopy for further examination. Results There were 438 cases （11.33%） of gynecologic abnormalities in 3 887 gynecological examinations, including 75 cases（17.12%） of cervical lesions （cervical vegetation）, 301 cases （68.72%） of vaginal diseases, and 62 cases （14.16%） of pelvic diseases. There were 124 cases （3.22%） with abnormal or suspicious cervical cytological examinations, including 76 cases of ASC-US, 32 cases of LISL, 5 cases of HISL, and 11 cases of ASC-H. There were 335 cases of colposcopy and 64 cases （19.10%） were found to be abnormal. There were 22 cases （34.38%） with abnormal histopathology in 64 cases of colposcopy abnormalities, including 20 cases of cervical intraepithelial neoplasia （CIN） and 2 cases of cervical invasive carcinoma （0.05%）. The related knowledge of cervical cancer disease was known in 2 986 cases （77.22%）, 364 cases （9.41%） were partially known, and 517 cases （13.37%） were unknown. Conclusion Routine gynecological examination ＋ cervical exfoliated cells and colposcopic biopsy for pathological examination can determine the level of cervical intraepithelial neoplasia and provide the basis for the patient to determine the next treatment measures.