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[目的]了解温岭市已婚妇女宫颈癌筛查情况,探讨其筛查价值。[方法]2010年4～10月参加宫颈病变筛查妇女21566例,以液基细胞学(TCT)、人乳头瘤病毒(HPV)和阴道镜为筛查方法,活检组织病理学为诊断金标准。[结果]21566例患者中检出细胞学阳性共1024例,988例行HPV-DNA检测HPV感染405例,病理诊断宫颈上皮内瘤样变(CIN)Ⅰ139例,CINⅡ～Ⅲ83例,鳞状细胞癌(SCC)1例。农村居民宫颈病变患病率明显高于城镇居民(χ2=16.65,P<0.05)。[结论]通过有组织地对已婚妇女行宫颈癌筛查,可早期发现宫颈病变。
[Objective] To understand the screening status of cervical cancer in married women in Wenling and explore its screening value. [Methods] From January to October 2010, 21566 women who participated in the screening of cervical lesions were enrolled in this study. Liquid-based cytology (TCT), human papillomavirus (HPV) and colposcopy were used as screening methods. Biopsy histopathology was the gold standard . [Results] A total of 1024 positive cases were detected in 21 566 patients, 988 HPV-DNA were detected in 988 cases, 405 cases of pathological diagnosis of cervical intraepithelial neoplasia (CIN), 83 cases of CIN Ⅱ ~ Ⅲ, squamous cell One case of cancer (SCC). The prevalence of cervical lesions among rural residents was significantly higher than that of urban residents (χ2 = 16.65, P <0.05). [Conclusion] Cervical cancer can be detected early by cervical cancer screening in married women.