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目的:了解新会区农村妇女宫颈癌筛查项目现状,为提高今后项目实施效果提供依据。方法:选取新会区35-59岁农村妇女采用宫颈液基细胞学检查、阴道镜和组织病理学检查方法行宫颈癌检查资料进行统计分析。结果:宫颈液基细胞学检查发现ASC-US及以上异常者380例,检出率6.35%;阴道镜检查227例,组织病理学检查212例,检出宫颈癌前病变22例,宫颈癌前病变检出率36.77/万,宫颈癌6例,宫颈癌检出率100.28/10万。结论:新会区农村妇女宫颈癌患病率较高,检查率较低,必须加大宣传和健康教育力度提高检查率,加强初筛患者的随访提高宫颈癌早诊早治率。
Objective: To understand the status quo of cervical cancer screening project of rural women in Xinhui District and provide the basis for improving the effect of the project in the future. Methods: Rural women aged 35-59 years old in Xinhui District were enrolled in this study. Cervical liquid cytology examination, colposcopy and histopathological examination were used to analyze the data of cervical cancer. Results: 380 cases of ASC-US and above abnormalities were detected by liquid-based cytological examination in cervical. The detection rate was 6.35%. Colposcopy was performed in 227 cases and histopathology was performed in 212 cases. Cervical precancerous lesions were detected in 22 cases. Cervical precancerous lesions Lesion detection rate of 36.77 / million, 6 cases of cervical cancer, cervical cancer detection rate of 100.28 / 100000. Conclusion: The rural women in Xinhui District have a higher prevalence rate of cervical cancer and lower examination rate. Publicity and health education must be intensified to improve the examination rate, strengthen the follow-up of screening patients and improve the early diagnosis and treatment rate of cervical cancer.