桐乡市洲泉镇9000例已婚妇女宫颈癌筛查分析

Analysis of 9 000 cases of married women for cervical cancer screening in Zhouquan town of Tongxiang city

目的:了解桐乡市洲泉镇所辖地区已婚妇女宫颈上皮内瘤样病变(CIN)的患病情况,为制定干预措施提供依据。方法:调查桐乡市洲泉镇经液基细胞学检查的已婚妇女9 000例,采用TBS细胞学诊断标准;并对液基细胞学检查有异常者行阴道镜下宫颈活组织检查。结果:液基细胞学检查异常301例;阴道镜下宫颈活组织检查261例,诊断CIN 68例(26.15%),占液基细胞学结果异常者22.59%,其中CINⅠ38例,CINⅡ18例,CINⅢ12例;原位癌1例,早期浸润癌0。结论:桐乡市洲泉镇所辖已婚妇女CIN的患病率0.76%,早期对CIN干预和治疗可有效降低宫颈癌的发生率。

Objective:To understand married women for cervical cancer screening in Zhouquan town of Tongxiang city,to provide the basis for the intervention measures.Methods:Investigating 9 000 cases of liquid based cytology for married women of in Zhouquan town of Tongxiang city,using standard cytological diagnosis of TBS,and liquid-based cytology abnormalities underwent colposcopy cervical biopsy.Results:301 cases of abnormal liquid based cytology,colposcopic cervical biopsy tissue was examined in 261 cases,the diagnosis of CIN in 68 cases(26.15%),accounting for liquid based cytology results abnormal 22.59%,of which 38 cases of CIN Ⅰ,CIN Ⅱ in 18 cases,CIN Ⅲ in 12 cases,orthotopic carcinoma in 1 cases and early invasive carcinoma in 0 cases. Conclusion:Zhouquan town of Tongxiang city of the prevalence of CIN in married women was 0.76% .Early intervention and treatment for CIN can effectively reduce the incidence of cervical cancer.