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目的:观察杭州萧山区的14个乡镇农村妇女患宫颈癌及其癌前病变的现状,为宫颈癌的早期预防及治疗提供可靠依据。方法:从2012年1月1日-2013年12月31日,对杭州萧山区农村育龄妇女,行宫颈癌免费筛查。采用传统巴氏涂片细胞学检查,然后对细胞学阳性患者采用阴道镜下宫颈活检组织病理学检查。选取萧山医院承担的萧山14个乡镇39 580例农村妇女宫颈癌筛查结果进行分析。结果:2012年经检测细胞学阳性人数为532例,其中ASC有326例,LSIL 90例,HSIL 102例,SCC 4例,AGC 10例;2013年经检测细胞学阳性人数为352例,其中ASC有289例,LSIL 37例,HSIL 23例,AGC 3例。两年内在该院参加活检的人数为521例,病理检查CIN I及湿疣人数为142例,CIN II人数为66例,CIN III人数为80例,浸润癌9例。经调查发现年龄段在50~59岁是细胞阳性人数最高的阶段,年龄在45~49岁段细胞阳性率最低。结论:对育龄妇女进行宫颈细胞学检查,有助于宫颈癌的早期预防及治疗,有利于女性身体健康。
Objective: To observe the status of cervical cancer and its precancerous lesions in rural women in 14 villages and towns in Xiaoshan District of Hangzhou, and provide a reliable basis for the early prevention and treatment of cervical cancer. Methods: From January 1, 2012 to December 31, 2013, a free screening of cervical cancer was performed on rural women of childbearing age in Xiaoshan District, Hangzhou. Traditional Pap smear cytology, and cytology-positive patients underwent colposcopic cervical biopsy histopathological examination. The screening results of cervical cancer in 39 580 rural women in 14 towns and villages in Xiaoshan undertaken by Xiaoshan Hospital were analyzed. Results: There were 532 cases of positive cytology in 2012, including 326 cases of ASC, 90 cases of LSIL, 102 cases of HSIL, 4 cases of SCC and 10 cases of AGC. The positive number of cytology in 2013 was 352 cases, of which ASC There were 289 cases, LSIL 37 cases, HSIL 23 cases, AGC 3 cases. The number of biopsies in this hospital was 521 in two years. The number of pathologic CIN I and genital warts was 142, the number of CIN II was 66, the number of CIN III was 80 and the invasive carcinoma 9. The survey found that the age of 50 to 59 years old is the highest number of cell-positive stage, the age of 45 to 49-year-old cell lowest positive rate. Conclusion: Cervical cytology in women of childbearing age is helpful for the early prevention and treatment of cervical cancer, which is good for women’s health.