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目的:探讨社区妇女宫颈癌筛查模式在欠发达小城市的创建及意义。方法:以丽水市万象社区作为研究点,随机抽取符合筛查标准的妇女,建立档案-专职人员-宣教-取样-联系医疗机构-督促、随访的社区宫颈癌筛查模式,并与同期妇科门诊妇女筛查结果进行比较,观察其筛查顺应性、治疗率、诊断及治疗时效符合率。结果:研究组通过筛查最后确诊宫颈病变的比例为1.50%,对照组为1.34%,两组间差异无显著性。两组HC-II筛查的阳性率均高于TCT筛查。两组的筛查顺应性均为100%,而研究组的诊断时效符合率、治疗率和诊治时效符合率均显著高于对照组(P<0.001)。结论:城市社区妇女宫颈癌筛查模式使妇女参加筛查和后续诊治的依从性均明显增加,值得进一步推广。
Objective: To explore the community women’s cervical cancer screening model in less developed cities and its significance. Methods: Women in compliance with screening criteria were randomly selected from Vientiane community in Lishui City to establish a community-based cervical cancer screening program with file-full-time staff-mission-sampling-contact with medical institutions-supervision and follow-up. Women screening results were compared to observe the screening compliance, treatment rate, diagnosis and treatment of time coincidence rate. Results: In the study group, the proportion of cervical lesions confirmed by screening was 1.50%, while the control group was 1.34%. There was no significant difference between the two groups. The positive rates of HC-II screening in both groups were higher than those in TCT screening. The screening compliance was 100% in both groups, but the coincidence rate of diagnosis time, the treatment rate and the coincidence rate of diagnosis and treatment time were significantly higher in the study group than those in the control group (P <0.001). Conclusion: The screening pattern of cervical cancer in urban community women has significantly increased the compliance of women participating in screening and subsequent diagnosis and treatment, which is worth further promotion.