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目的在宫颈癌高发区通过对高危人群实施跟踪随访筛查以达到宫颈癌早期诊断和早期治疗。方法对目标人群的30～59岁适龄妇女应用醋染(VIA)和碘染(VILI)进行初筛,结合电子阴道镜检和病理检查进而明确诊断。结果2006～2007年共筛查5595人,随访检查3676人,最终病理诊断结果证实CINⅠ189例,CINⅡ25例,CINⅢ/原位癌19例,宫颈浸润癌8例。结论碘染、醋染作为宫颈癌的初筛方法其符合率分别为41.6%和64%,但结合阴道镜及镜下定位活检病理检查可大大提高宫颈癌癌前病变及早期宫颈癌的诊断率。
Objective To achieve the early diagnosis and early treatment of cervical cancer through follow-up screening of high-risk groups in the high incidence of cervical cancer. Methods The women aged 30-59 years old in the target population were screened by VIA and VILI. Combined with electronic colposcopy and pathology, VIA and VILI were used to confirm the diagnosis. Results A total of 5595 people were screened from 2006 to 2007, 3676 were followed up. The final pathological diagnosis confirmed CINⅠ189 cases, CINⅡ25 cases, CINⅢ / carcinoma in situ in 19 cases and cervical carcinoma in 8 cases. Conclusion The coincidence rates of iodine dye and acetic acid dye as the primary screening method for cervical cancer are 41.6% and 64%, respectively. However, combined with colposcopy and microscopic biopsy pathology can significantly improve the diagnostic rate of cervical precancerous lesions and early cervical cancer .