长春市城区贫困妇女免费宫颈癌筛查现况分析

Analysis of free cervical cancer screening for poor women in Changchun City

目的探讨长春市城区贫困妇女免费子宫颈癌筛查工作的开展情况,为提高该地区贫困妇女宫颈癌的防控体系和救助政策提供理论依据。同时,也为即将扩大的宫颈癌筛查人群提供有益实践。方法通过收集2015—2021年长春市城区贫困妇女宫颈癌筛查项目的相关资料,对筛查结果进行综合性描述、分析。结果共筛查适龄贫困妇女16559例,宫颈细胞异常检出率为4.97%(823/16559),阴道镜随访率仅为61.34%(531/864)。通过筛查发现宫颈癌前病变56例,检出率为338.18/10万(56/16559),筛查检出宫颈癌3例,检出率18.12/10万(59/16559),宫颈癌前病变及宫颈癌的检出率为356.30/10万(59/16559),与同期不同省市的筛查数据相比,长春城区贫困妇女的宫颈癌前病变检出率位于中等偏上的水平。结论长春市城区贫困妇女宫颈癌筛查显现出一定成效,未来在筛查质量、广泛开展贫困妇女健康教育及加大宫颈癌前病变患者救助力度等方面还有待进一步提高。

Objective To analyze the implementation of free cervical cancer screening for poor women in Changchun urban area,and to provide a theoretical basis for improving the prevention and control system and relief policies for cervical cancer among poor women in the area Also,to provide useful practice for the upcoming expansion of cervical cancer screening population.Methods By collecting data related to the cervical cancer screening program for poor women in urban areas of Changchun from 2015 to 2021,the screening results were comprehensively described and analyzed.Results A total of 16559 poor women of appropriate age were screened,with a cervical cell abnormality detection rate of 4.97%(823/16559)and a colposcopic follow-up rate of only 61.34%(531/864)Cervical precancerous lesions were detected through screening in 56 cases,with a detection rate of 338.18/100000(56/16559),cervical cancer was detected in 3 cases through screening,with a detection rate of 18.12/100000(59/16559),and the detection rate of cervical precancerous lesions and cervical cancer was 356.30/100000(59/16559),compared with the screening data of different provinces and cities in the same period.The detection rate of cervical precancerous lesions among poor women in urban areas of Changchun is located in the middle to upper level.Conclusion Cervical cancer screening among poor women in urban areas of Changchun has shown some ffectiveness,but there is still room for further improvement in terms of screening quality,extensive health education for poor women,and increased assistance for patients with cervical precancerous lesions.