职工体检中宫颈癌筛查现状分析

Analysis on the status quo of cervical cancer screening in employee physical examination

目的探讨职工体检中宫颈癌筛查现状。方法选取2017年5月至2018年5月我院68例已检出宫颈癌的女性职工为研究对象,随机将其等分为对照组与研究组,对照组职工实施常规的巴氏涂片筛查,研究组职工实施超薄细胞检测系统(thinprep test,RTCT)检查,对宫颈薄层液基细胞检查联合高危型宫颈人乳头状瘤病毒(human papilloma virous,HPV)以及组织学检查,以筛查出患有宫颈癌的职工。比较两组职工筛查阳性检出率和对筛查结果的满意度。结果研究组职工阳性检出率高于对照组(P <0. 05),研究组职工对筛查结果的满意度高于对照组(P <0. 05)。结论采用宫颈薄层液基细胞检查联合HPV以及组织学检查,能够显著提高宫颈癌以及宫颈癌前病变的灵敏度及特异性,能够增加筛查阳性检出率,提高职工对筛查结果的满意度,值得临床推广应用。

Objective To discuss the status quo of cervical cancer screening in employee physical examination.Methods To select68cases of female workers who had detected cervical cancer in our hospital from May2017to May2018as the study subjects.They were divided into control group and study group with the same number of patients randomly.The control group staff were given routine Pap screening test,while the study group was given thinprep cytologic test system(RTCT)examination.Combining thinprep cytologic test with high-risk cervical human papillomavirus(HPV)and histological examination,workers with cervical cancer were screened out.The positive detection rate of the two groups of workers and the satisfaction of the screening results were compared.Results The positive detection rate of the study group was higher than that of the control group(P<0.05).The satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion The use of cervical thin-layer liquid-based cell examination combined with HPV and histological examination can improve the sensitivity and specificity of cervical cancer and cervical precancerous lesions significantly.Meanwhile,it can increase the positive detection rate of screening,and improve the satisfaction of workers in screening results,which was worthy of clinical promotion and application.