河北省农村妇女宫颈病变筛查结果分析

Cervical lesions among rural women in Hebei province, 2017: an analysis on screening data

目的了解河北省不同地区农村妇女生殖系统健康情况及其分布特点。方法对2017年河北省12个地区及1个直管县共66个县市35~64岁已婚农村妇女370129人进行妇科检查及细胞学检查,细胞学检查巴氏分级ⅡB级及以上者、TCT检查结果异常者行阴道镜检查,阴道镜检查结果怀疑宫颈病变的多点组织活检行病理学检查。结果实际筛查370129人,宫颈癌筛查率为5.69%;妇科筛查结果异常者86767例,异常检出率为23.44%,河北省农村妇女宫颈炎检出率为8.07%,组织病理诊断宫颈上皮内瘤变733例(低级别病变352例;高级别病变381例),宫颈浸润癌62例,检出率为0.17‰(62/370129),其他妇科恶性肿瘤0例。结论适龄妇女生殖健康状况严峻,定期开展宫颈癌筛查,准确检测和及时治疗宫颈上皮内瘤样变从而预防宫颈癌的发生,降低发病率及死亡率,有助于提高妇女健康水平。

Objective To examine prevalence characteristics of cervical lesions among rural women in Hebei province.Methods Gynecological examination and cervical cytology examination were conducted among 370 139 married women aged 35–64 years in rural regions of 66 prefectures/counties during 2017. Colposcopy was performed among the examinees with Papanicolaou(Pap) smear of grade IIB and above or abnormal cervical thin-cytologic test(TCT) findings and multiple biopsy was subsequently carried out among the examinees with suspicious cervical lesions. Results Among all the women surveyed, the detection rate of cervical cancer was 5.69%. Abnormalities were identified in 86 767(23.44%) of the women undergoing the gynecological examination;of them, 29 859(8.07%) were diagnosed with chronic cervicitis, 733 with cervical intraepithelial neoplasia based on histopathology(including 352 and 381 low-and high-grade lesions),and 67(0.17‰) with invasive cervical cancer, respectively. No other gynecological malignant tumor was detected.Conclusion Cervical lesion is prevalent among rural married women in Hebei province and regular screening on cervical cancer and other diseases could promote health status of the women.