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目的探讨宝鸡地区宫颈癌筛查方案的可行性。方法收集分析2010年1月—2013年11月在宝鸡市妇幼保健院进行宫颈癌筛查的患者资料,筛查方法包括巴氏细胞学、液基细胞学、高危型HPV检测,多功能醋酸白肉眼检测法,并经阴道镜检查,病理确诊宫颈癌及癌前病变。结果共筛查89 714例,其中组织性筛查59 745例,机会性筛查29 969例,筛查方法依次为巴氏细胞学69 285例,液基细胞学16 114例,HPV检测625例,多功能醋酸白肉眼检测3 604例。最常用的筛查方案是细胞学检查占95.19%。组织性筛查检出宫宫颈癌前病变(CINⅠ+CINⅡ+CINⅢ)916例(1.53%),宫颈癌96例(0.16%),机会性筛查检出颈癌前病变(CINⅠ+CINⅡ+CINⅢ)892例(2.98%),宫颈癌159例(0.53%)。结论巴氏细胞学仍为经济欠发达地区主要的宫颈癌筛查方法,机会性筛查宫颈病变检出率高,但仍不能忽视组织性筛查。
Objective To investigate the feasibility of screening cervical cancer in Baoji area. Methods The data of patients with cervical cancer screening from January 2010 to November 2013 in Baoji Maternal and Child Health Hospital were collected and analyzed. The screening methods included Pap cytology, liquid-based cytology, high-risk HPV test, The naked eye detection method, and colposcopy, pathological diagnosis of cervical cancer and precancerous lesions. Results A total of 89 714 cases were screened, of which 59 745 were classified as organized screening and 29 969 for opportunistic screening. The screening methods included 69 285 cases of Pap cytology, 16 114 cases of liquid-based cytology, 625 cases of HPV testing , 3 604 cases of multifunctional acetate white eye examination. The most commonly used screening program is cytology 95.19%. Nineteen cases (1.53%) of cervical precancerous lesions (CINⅠ + CINⅡ + CINⅢ) and 96 cases of cervical cancer (0.16%) were screened by histological screening. Preneoplastic cervical lesions (CINⅠ + CINⅡ + CINⅢ) ), 892 cases (2.98%) and 159 cases of cervical cancer (0.53%). Conclusion Pap smear is still the main cervical cancer screening method in economically underdeveloped areas. The detection rate of opportunistic cervical lesions is high, but histological screening can not be ignored.