论文部分内容阅读
目的通过对江苏省东台市妇女子宫颈癌的筛查、早诊早治情况进行调查,为子宫颈癌的筛查、早诊早治及在农村地区的普遍开展提供一定的参考依据。方法选择2009年和2013年东台市唐洋镇20~59岁妇女进行筛查和问卷调查。采用液基细胞学、HPV DNA检测和传统巴氏涂片作为筛查方案,对发现的结果异常者开展相应的进一步诊疗。结果最终有774人完成问卷调查。其中2009年(476人)筛查现场研究对象受教育程度:430人为初中及以下,26人为中专及高中,20人为大专及本科;2013年(298人)筛查现场研究对象受教育程度:253人为初中及以下,25人为中专及高中,20人为大专及本科。通过筛查,2009年筛查结果显示:巴氏涂片结果异常者共有25例,占5.25%。其中非典型鳞状上皮细胞病变(ASCUS)有17例,占68.00%;低度鳞状上皮内病变(LSIL)有7例,占28.00%;宫颈癌前病变(HSIL)有1例,占4.00%。2013筛查结果显示:TCT结果异常者共有12例,占4.02%。其中ASCUS有9例,占75.00%;LISL有3例,占25.00%。HPV-HC2结果异常者(>1.00)有59例,占总人数的19.80%。其中1.00~3.70有10例,占异常结果的16.95%;>3.70 49例,占异常结果的83.05%。结论 1子宫颈癌筛查现场项目进行良好,能够有效地发现癌前病变及早期癌患者。2接受筛查对象子宫颈癌及癌前病变与年龄段相关。3人群对宫颈癌及其筛查目的的认识主要受文化程度的影响。4妇女对子宫颈癌、癌前病变、早期筛查的重要性等的认知较低。
Objective To investigate the screening, early diagnosis and early diagnosis of cervical cancer in Dongtai, Jiangsu Province, and to provide some references for the screening of cervical cancer, early diagnosis and early diagnosis and treatment in rural areas. Methods The screening and questionnaire survey of 20 ~ 59-year-old women in Tangyang Town, Dongtai City in 2009 and 2013 were conducted. Using liquid-based cytology, HPV DNA testing and traditional Pap smear as a screening program, to find the results of abnormalities to carry out the corresponding further treatment. As a result, 774 people completed the questionnaire. Among them, 476 were screened in 2009; the education level of on-the-spot study subjects: 430 were junior high school and below, 26 were secondary school and high school, 20 were college and undergraduate; in 2013 (298 persons) 253 for junior high school and below, 25 for secondary school and high school, 20 for college and undergraduate. Through screening, screening results in 2009 showed that there were 25 cases (5.25%) with abnormal results of Pap smear. There were 17 cases of atypical squamous cell disease (ASCUS), accounting for 68.00%; 7 cases of low grade squamous intraepithelial lesion (LSIL), accounting for 28.00%; 1 case of cervical precancerous lesions (HSIL), accounting for 4.00 %. 2013 screening results showed that: TCT results were abnormal in a total of 12 cases, accounting for 4.02%. Among them ASCUS has 9 cases, accounting for 75.00%; LISL has 3 cases, accounting for 25.00%. 59 cases of HPV-HC2 abnormal results (> 1.00), accounting for 19.80% of the total number. Among them, 1.00 to 3.70 had 10 cases, accounting for 16.95% of the abnormal results;> 3.7049 cases, accounting for 83.05% of the abnormal results. Conclusion 1 Cervical cancer screening site project carried out well, can effectively detect precancerous lesions and early cancer patients. 2 screening subjects cervical cancer and precancerous lesions and age-related. 3 The awareness of cervical cancer and its screening purpose is mainly influenced by the education level. 4 women have low awareness of cervical cancer, precancerous lesions, the importance of early screening and so on.