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目的:了解东莞市大岭山镇妇女宫颈癌和宫颈癌前病变的流行病学特征。方法:回顾性分析2012年1月至2014年12月东莞市大岭山镇4 402例接受宫颈癌筛查的妇女的临床资料,分析该镇妇女宫颈癌和宫颈癌前病变的发病率、检出率等。结果:宫颈液基细胞学检测异常率为2.09%(92/4 402),HPV检查阳性率为5.63%(249/4 402)。41~50岁年龄段CIN发病率(4.78%)最高。随着宫颈液基细胞学检测检查级别的升高,HPV阳性率呈明显增高趋势。二者联合检出率明显高于单项检查的检出率(P<0.05)。结论:东莞市大岭山镇妇女CIN检出率较高,应从35岁始加强筛查,宫颈液基细胞学检测联合HPV筛查是宫颈癌早诊断、早治疗的重要措施。
Objective: To understand the epidemiological characteristics of cervical cancer and cervical precancerous lesions in Dalingshan Town, Dongguan City. Methods: The clinical data of 4 402 women screened for cervical cancer in Dalingshan Town of Dongguan City from January 2012 to December 2014 were retrospectively analyzed. The incidence of cervical cancer and precancerous lesions of women in this town were analyzed. Rate and so on. Results: The abnormality rate of cervical liquid-based cytology was 2.09% (92/4 402). The positive rate of HPV test was 5.63% (249/402). The incidence of CIN in 41 ~ 50 age group was the highest (4.78%). With cervical liquid-based cytology test to check the level of elevation, HPV positive rate was significantly increased. The combined detection rate was significantly higher than the detection rate of single examination (P <0.05). Conclusion: The detection rate of CIN in women from Dalingshan Town, Dongguan City is relatively high. Screening should be strengthened from the age of 35. Cervical liquid-based cytology and HPV screening are important measures for early diagnosis and early treatment of cervical cancer.