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目的评估宫颈癌筛查模式的改变对筛查效果的影响。方法选择广东省2013年1月-2014年12月参与宫颈癌筛查的35~64岁农村妇女,2013年采用的筛查模式为机构自行完成所有筛查,2014年统一委托第三方机构承担宫颈癌集中检验服务。采用宫颈癌检出率、宫颈癌癌前病变检出率、阴道镜检查随访率、宫颈组织病理学检查随访率等指标评估不同筛查模式的筛查效果。结果两组筛查模式比较,委托第三方机构集中检验服务的筛查模式的宫颈癌检出率、宫颈癌癌前病变检出率、阴道镜检查随访率、宫颈组织病理学检查随访率明显高于机构自行完成的筛查模式,两组比较差异有统计学意义(P<0.05)。结论委托第三方机构承担集中检验服务的筛查模式,统一了筛查方法和质控标准,对提高宫颈癌筛查质量具有重要作用,是一种可以借鉴的宫颈癌筛查模式。
Objective To assess the impact of changes in screening patterns of cervical cancer on screening results. Methods Select rural women 35-64 years old who participated in screening for cervical cancer from January 2013 to December 2014 in Guangdong Province. All the screening was completed by the institution in 2013. In 2014, the third party agency entrusted the third party to undertake the cervical Cancer focus testing services. The screening results of cervical cancer, cervical cancer precancerous lesions, colposcopy follow-up rate, cervical histopathology follow-up rate and other indicators were used to evaluate the screening results. Results Compared with the screening patterns of the two groups, the detection rate of cervical cancer, the detection rate of precancerous lesions of cervical cancer, the follow-up rate of colposcopy and the histopathological examination of cervical tissue were significantly higher In the self-completed screening mode, the difference between the two groups was statistically significant (P <0.05). Conclusion It is a kind of cervical cancer screening model that can be used as a reference to entrust a third party to undertake the screening mode of centralized testing service and unify the screening methods and quality control standards, which plays an important role in improving the screening quality of cervical cancer.