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目的:对全县24个乡镇16167例35-59岁农村妇女采用宫颈脱落细胞学检查的方法进行宫颈癌筛查,其中初筛异常者895例进行阴道镜检查,阴道镜检查异常者377例,行阴道镜下宫颈活组织病理学检查。结果:16167例检查妇女中,宫颈癌前病变(CIN)共246例,患病率1.52%;检出宫颈癌5例,患病率30.9/10万,CIN的发病趋于年轻化。我国近5年开展的农村妇女宫颈癌免费筛查项目是早期发现宫颈癌前病变及宫颈癌的重要措施,对宫颈癌的预防、早诊断、早治疗,提高妇女健康水平具有重要的意义。
Objective: Cervical cancer screening was performed on 16,167 rural women aged 35-59 in 24 towns and villages in the county by cervical cytology. Among them, 895 cases with abnormal primary screening were examined by colposcopy, 377 cases with abnormal colposcopy, Colposcopic biopsy under cervical biopsy. Results: There were 246 cases of cervical precancerous lesions (CIN) in 16,167 women with the prevalence of 1.52%. Five cases of cervical cancer were detected, the prevalence was 30.9 / 100 000. The incidence of CIN tended to be younger. In the past five years, the free screening of cervical cancer in rural women in our country is an important measure to detect cervical precancerous lesions and cervical cancer in the early stage. It is of great significance for the prevention, early diagnosis and early treatment of cervical cancer and the improvement of women’s health.