论文部分内容阅读
[目的]分析城市基层计划生育服务站进行宫颈癌筛查的可行性。[方法]在街道级计划生育服务站每年一度的计划生育妇检中,应用液基细胞学(TCT)检查和HPV检测方法进行宫颈癌筛查,对筛查结果为阳性者(≥不能明确意义的不典型鳞状上皮细胞)转诊阴道镜检查,并行宫颈组织病理诊断,同时进行行政费用的调查。[结果]参加妇科检查的社区居民育龄妇女6630人,672人进行了初筛,顺应性10.14%,发现≥不能明确意义的不典型鳞状上皮细胞58例,占8.63%;人乳头瘤病毒(HPV)检测了67人,阳性28人;59例转诊阴道镜和病理检查,≥宫颈上皮内瘤变(CIN)Ⅱ级8例,CIN检出率1.19%;行政费用率0.29%,与深圳市妇幼保健院妇科门诊机会性筛查相比,差异无统计学意义(χ2=0.395,P>0.05)。[结论]完善的计生网络及良好的运作为宫颈癌防治工作提供了组织保障,街道计生中心具备技术能力开展宫颈癌的初级筛查。建议政府在每年一度的妇检中加入宫颈癌筛查项目,并依托医院医疗技术进行宫颈癌的早期防治。
[Objective] To analyze the feasibility of screening cervical cancer in urban family planning service stations. [Method] Cervical cancer screening was conducted by liquid-based cytology (TCT) test and HPV test in the annual family-planning examination at the street-level family planning service station. The results of screening were positive (≥ not clear meaning Of atypical squamous cells) referral colposcopy, parallel pathological diagnosis of cervical tissue, while the administrative costs of the investigation. [Results] 6630 women of childbearing age who participated in the gynecological examinations were preliminarily screened out by 672 people, with compliance 10.14%. 58 cases (≥ 8.63%) of atypical squamous cells were found to have no definite significance, HPV) detected 67, positive 28; colposcopy and pathological examination of 59 cases, ≥ 8 cases of cervical intraepithelial neoplasia (CIN) Ⅱ grade, CIN detection rate of 1.19%; administrative costs 0.29%, and Shenzhen City maternal and child health hospital gynecological clinic opportunistic screening compared, the difference was not statistically significant (χ2 = 0.395, P> 0.05). [Conclusion] The improved family planning network and good operation provide the organizational guarantee for the prevention and treatment of cervical cancer. The street family planning center has the technical ability to carry out the primary screening of cervical cancer. It is suggested that the government should join the cervical cancer screening program in the annual maternity examinations and rely on the hospital medical technology for the early prevention and treatment of cervical cancer.