论文部分内容阅读
目的早期发现宫颈癌前病变及早期宫颈癌,预防及彻底治疗宫颈癌。方法收集分析2008年7月至2009年7月在内江市中医院妇科门诊进行宫颈癌机会性筛查的823例患者资料,按年龄分为A组(≤19岁)、B组(20～29岁)、C组(30～39岁)、D组(40～49岁)、E组(50～59岁)、F组(≥60岁)进行筛查,筛查方法采用液基细胞学技术结合The Bethesda System(TBS)报告系统,结果异常者进行阴道镜下宫颈活检病理检查,确诊宫颈病变及宫颈癌。结果823例中宫颈癌前病变[包括宫颈上皮内瘤变(cervical intra-epithelial neoplasia,CIN)Ⅰ、CINⅡ、CINⅢ或原位癌]39例,占4.74%,早期浸润癌4例,占0.49%。其中C组癌前病变16例,早期浸润癌3例,D组癌前病变13例,早期浸润癌1例。6组不同年龄组间宫颈癌发病率比较,差异有统计学意义(P<0.05)。结论本研究中宫颈癌前病变及早期宫颈癌高发年龄在30～49岁,并趋向于30～39岁间,应高度重视宫颈癌机会性筛查,早期发现并及时治疗癌前病变,有效阻止宫颈癌的发生,提高广大妇女的生存质量。
Objective Early detection of cervical precancerous lesions and early cervical cancer, prevention and complete treatment of cervical cancer. Methods A total of 823 patients with cervical cancer who underwent gynecological clinics in Neijiang Hospital of Traditional Chinese Medicine from July 2008 to July 2009 were collected and divided into groups A (≤19 years), B (20-29 (30-39 years old), group D (40-49 years old), group E (50-59 years old) and group F (≥60 years old). The screening method used liquid-based cytology Combined with the The Bethesda System (TBS) reporting system, those with abnormal results underwent colposcopic cervical biopsy to diagnose cervical lesions and cervical cancer. Results Among the 823 cases of cervical precancerous lesions (including 39 cases of cervical intra-epithelial neoplasia (CIN) Ⅰ, CINⅡ, CINⅢ or carcinoma in situ), accounting for 4.74%, and 4 cases of early invasive carcinoma (0.49% . Among them, 16 cases of precancerous lesions in group C, 3 cases of early invasive carcinoma, 13 cases of precancerous lesions in group D and 1 case of early invasive carcinoma. There were significant differences in the incidence of cervical cancer among 6 groups of different age groups (P <0.05). Conclusion Cervical precancerous lesions and early stage cervical cancer in our study are at the age of 30-49 years and tend to be between 30-39 years old. We should attach great importance to opportunistic screening of cervical cancer, early detection and timely treatment of precancerous lesions and effectively prevent The occurrence of cervical cancer, improve the quality of life of the majority of women.