摘要
目的:了解江门市郊区农村妇女宫颈癌及癌前病变发病情况,探讨用宫颈刮片细胞学检查方法开展宫颈癌普查的可行性。方法:采用传统宫颈刮片TBS分级报告法对10 412例农村妇女进行宫颈疾病筛查,对不典型鳞状细胞(ASCUS)及以上病变患者进行阴道镜检查,并取组织进行病理检查,了解宫颈癌及癌前病变发病情况。结果:在10 412例官颈刮片细胞学检查中,阴性(NSIL)10 309例,细胞学异常103例,包括直接诊断为宫颈癌1例。进行阴道镜检查103例,病理诊断宫颈癌前病变24例,宫颈癌6例,炎症改变73例。结论:积极对农村妇女进行普遍性宫颈癌筛查可及早发现宫颈癌前病变、宫颈癌,做到早发现、早诊断、早治疗,预防并降低宫颈癌的发生;传统宫颈刮片TBS分类法检查无痛苦、无损伤、简便易行、价格低廉,可作为群体性宫颈癌普查的首选。
Objective To understand the prevalences of cervical cancer and cervical precancerous lesions among rural women in suburban areas of Jiangmen city, and explore the feasibility of carrying out general investigation of cervical cancer by cervical scraping smear and cytological examination. Methods： Routine TBS grading system of cervical scraping smear was used to screen cervical diseases among 10 412 rural women, the patients with atypical squamous cells of undetermined significance （ASCUS） and the lesions above underwent colposcopy, then the cervical samples were obtained for pathological examination to understand the prevalence of cervical cancer and cervical precancerous lesions. Results： Among 10 412 women receiving cervical scraping smear and cytological examination, 10 309 women were not found with cervical diseases, and 103 women were found with cervical cytological abnormality, including one woman diagnosed as cervical cancer directly. Among 103 women receiving colposcopy, 24 women were diagnosed as cervical precancerous lesions by pathological examination, 6 women were diagnosed as cervical cancer, and 73 women were diagnosed as cervical inflammatory lesions. Conclusion： Conducting general investigation of cervical cancer actively among rural women can detect cervical precancerous lesions and cervical cancer early, ensure early detection, early diagnosis, and early treatment, prevent and reduce the occurrence of cervical cancer; routine TBS grading system of cervical scraping smear has the advantages of painlessness, no - damage, simplicity, easy to operate, and low expense, which can be used as the first choice for population general investigation of cervical cancer.
出处
《中国妇幼保健》
CAS
北大核心
2012年第31期4879-4881,共3页
Maternal and Child Health Care of China
关键词
宫颈癌普查
宫颈刮片
TBS分级报告
General investigation of cervical cancer
Cervical scraping smear
TBS grading system
