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目的:分析近10年宫颈癌及癌前病变的检出状况,评价早期宫颈癌及癌前病变的检出进展。方法:回顾性分析1999年10月～2009年10月确诊的宫颈癌及癌前病变的资料,并比较前5年与后5年确诊的宫颈癌及癌前病变的检出状况。结果:近10年宫颈癌及癌前病变检出中,前5年检出的宫颈上皮内瘤变占32.58%(86/264),宫颈原位癌占14.04%(25/178),宫颈癌I期占39.89%(71/178);后5年检出的宫颈上皮内瘤变占47.38%(235/496),宫颈原位癌占31.03%(81/261),宫颈癌Ⅰ期占44.44%(116/261),维吾尔族和汉族宫颈癌高发年龄均为30～59岁。结论:后5年比前5年早期宫颈癌及癌前病变的检出百分比明显提高。近10年里宫颈癌的高发年龄段变化不大。
OBJECTIVE: To analyze the detection status of cervical cancer and precancerous lesions in the recent 10 years and evaluate the detection progress of early cervical cancer and precancerous lesions. Methods: The data of cervical cancer and precancerous lesions diagnosed from October 1999 to October 2009 were retrospectively analyzed. The status of cervical cancer and precancerous lesions diagnosed in the first 5 years and the last 5 years were compared. Results: Cervical carcinoma and precancerous lesions detected in the past 10 years accounted for 32.58% (86/264) of cervical intraepithelial neoplasia in the first 5 years, 14.04% (25/178) of cervical carcinoma in situ, cervical cancer I period accounted for 39.89% (71/178); after 5 years of detection of cervical intraepithelial neoplasia accounted for 47.38% (235/496), cervical cancer in situ accounted for 31.03% (81/261), cervical cancer stage I accounted for 44.44 % (116/261). The incidence of cervical cancer in Uygur and Han were both 30- 59 years old. Conclusion: The percentage of early detection of cervical cancer and precancerous lesions in the first five years is obviously higher than that in the first five years. Nearly 10 years of high incidence of cervical cancer little change in age.