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目的:探讨在城市社区进行液基薄层细胞学制片技术(TCT)筛查早期宫颈癌的必要性。方法:对筛查妇女中TCT阳性(细胞学TBS分类为不典型鳞状细胞以上)者进行hc2-HPV检测、阴道镜及镜下多点活组织检查,分析城市社区人群的筛查比例、TCT检查阳性率及子宫颈癌前病变患病率。结果:中山市东区共有3 838例妇女参加筛查,筛查率为19.39%。共检出TCT阳性61例(1.59%),31～40岁36例,41～50岁25例;阴道镜检查结果显示异常27例(44.26%);活检结果 CINⅠ15例(24.60%),CINⅡ6例(9.84%),CINⅢ6例(9.84%)。结论:城市社区妇女宫颈癌筛查率较低,在城市社区开展宫颈癌防治的宣传教育及筛查有着巨大的社会需求。
OBJECTIVE: To explore the necessity of using TCT in urban community to screen for early cervical cancer. Methods: The hc2-HPV test, colposcopy and microscopic multi-point biopsy were performed on TCT-positive (Cytological TBS classified as atypical squamous cells or above) women in screening screening, screening ratio of urban community population, TCT Check the positive rate and the prevalence of cervical precancerous lesions. Results: A total of 3838 women participated in the screening in the eastern district of Zhongshan City, with a screening rate of 19.39%. Totally 61 cases (1.59%) were positive for TCT, 36 cases were 31 to 40 years old and 25 cases were 41 to 50 years old. The result of colposcopy was abnormal in 27 cases (44.26%). The biopsy results were 15 cases (24.60%) of CINⅠ and 6 cases of CINⅡ (9.84%), CIN Ⅲ cases (9.84%). Conclusion: The screening rate of cervical cancer in urban community women is relatively low. There is a huge social need for publicity, education and screening of cervical cancer prevention and control in urban communities.