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目的分析宁波市鄞州区宫颈癌死亡、发病及筛查结果,为宫颈癌防治提供依据。方法收集宁波市鄞州区2004—2013年宫颈癌死亡资料、2010—2013年发病资料和2014年宫颈薄层液基细胞学检查(即TCT)结果,采用构成比、标化率、趋势χ2等指标进行统计分析。标化率采用Segi’s 1985年世界人口构成。结果 2004—2013年宁波市鄞州区宫颈癌死亡共112例,粗死亡率2.90/10万,世界人口标化死亡率2.06/10万,随年度变化有增高趋势(趋势χ2=4.02,P=0.045)。宫颈癌死亡率随年龄增高而上升(趋势χ2=135.60,P<0.001)。2010—2013年宁波市鄞州区宫颈癌发病共215例,粗发病率14.11/10万,世界人口标化发病率9.34/10万,随年度变化趋势差异无统计学意义(趋势χ2=0.38,P=0.539)。宫颈癌发病率随年龄增高呈倒U型分布。2014年对2 295例已婚妇女进行TCT细胞学病理诊断,检出58例异常情况,检出率2.53%。其中以ASC-US最多(40例,占68.97%)。结论宁波市鄞州区宫颈癌死亡水平低于全国平均水平(3.4/10万),发病水平高于全国(7.5/10万)。需加强宫颈癌早期防治,重视各年龄组已婚妇女的TCT筛查。
Objective To analyze the death, incidence and screening results of cervical cancer in Yinzhou District, Ningbo City, providing the basis for the prevention and treatment of cervical cancer. Methods The data of cervical cancer death from 2004 to 2013, the incidence of cervical cancer in 2010-2013 and the cervical cytology liquid-based cytology (TCT) in 2014 were collected from Ningbo Yinzhou District. The constituent ratio, standardization rate, trend χ2 and other indicators conduct statistical analysis. The standardization rate is based on Segi’s 1985 world population. Results A total of 112 cervical cancer deaths were reported in Ningbo Yinzhou District from 2004 to 2013, with a crude death rate of 2.90 per 100 000. The world population standardized mortality rate was 2.06 / 100 000, with an increasing tendency with annual changes (trend χ2 = 4.02, P = 0.045 ). Cervical cancer mortality increased with age (trend χ2 = 135.60, P <0.001). There were 215 cases of cervical cancer in Ningbo Yinzhou District from 2010 to 2013. The incidence rate of cervical cancer was 14.11 / 100000. The world population standardized rate was 9.34 / 100000. There was no significant difference with the annual trend (χ2 = 0.38, P = 0.539). Cervical cancer incidence was inverted U-shaped distribution with age. In 2014, 2 295 married women were diagnosed by TCT cytology, and 58 cases were detected abnormally, with a detection rate of 2.53%. Among them, ASC-US was the most (40 cases, accounting for 68.97%). Conclusion The death rate of cervical cancer in Ningbo Yinzhou District is lower than the national average (3.4 / 100000), the incidence is higher than that of the whole country (7.5 / 100000). Need to strengthen the early prevention and treatment of cervical cancer, focusing on the age of married women TCT screening.