北京市2008-2020年适龄妇女免费宫颈癌筛查结果分析

Analysis of free cervical cancer screening of women with eligible age in Beijing from2008 to 2020

目的:探讨2008-2020年北京市适龄妇女接受宫颈癌免费筛查情况。方法:对2008年1月-2020年12月北京市宫颈癌免费筛查的结果进行分析。结果:共筛查适龄妇女3000435人次。宫颈脱落细胞学平均异常检出率2.5%,其中阴道镜异常占61.2%。癌及癌前病变检出率231.5/10万,其中宫颈癌癌前病变检出率222.0/10万;宫颈癌检出率9.5/10万。“十三五”期间,北京市宫颈细胞学异常检出率及阴道镜异常检出率、宫颈癌及癌前病变检出率、早诊率均较前显著提升。结论:北京市适龄妇女免费宫颈癌筛查工作取得了一定成效;未来在筛查人群覆盖和筛查质量上还需进一步探索提高,为尽早实现21世纪末消除宫颈癌的目标提供有益的实践。

Objective:To analyze the situation of free cervical cancer screening of women with eligible age in Beijing from 2008to 2020.Methods:The results of free cervical cancer screening in Beijing from January 2008to December 2020were analyzed.Results:A total of 3,000,435women with eligible age were screened.The average abnormal cytological detection rate of cervical exfoliative cytology of these women was 2.5%,and the abnormal detection rate by colposcopy of these women was 61.2%.The detection rate of cervical cancer and cervical precancerous lesions of these women was 231.5/100,000,among which,the detection rate of precancerous lesions of cervical cancer was 222.0/100,000,and the detection rate of cervical cancer was 9.5/100000.During the 13th Five-Year Plan period,the detection rates of abnormal cervical cytology,abnormal colposcopy,cervical cancer,and cervical precancerous lesions,and the early diagnosis rate of early cervical cancer had increased significantly in Beijing.Conclusion:The work of free cervical cancer screening of women with eligible age in Beijing has achieved some success.In the future,the coverage of screening population and the quality of screening should be further explored and improved in order to provide beneficial practice for realizing WHO goal of eliminating cervical cancer as soon as possible.