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目的了解延边州农村妇女宫颈癌检查项目完成情况,针对农村妇女宫颈癌检查项目提出改进措施,从而提高宫颈癌检查水平。方法对延边州内35~64周岁农村妇女9407例进行免费宫颈癌检查,对其结果进行回顾性分析。结果 9407例接受检查的农村妇女重复筛查率为39.92%,各地区重复筛查率比较差异具有统计学意义(P<0.05);所有受检者中细胞学阳性率为1.86%,各地区细胞学阳性率比较差异具有统计学意义(P<0.05);所有细胞学结果阳性受检者接受阴道镜检查率为96.59%,各地区细胞学结果阳性受检者接受阴道镜检查率比较差异无统计学意义(P>0.05)。宫颈组织活检病理诊断确诊CINⅠ病变23例,宫颈癌前病变17例,宫颈癌2例。细胞学结果阳性受检者阴道镜活检及病理检查异常检出率为24.71%(42/170)。结论延边州各地区农村妇女宫颈癌重复筛查情况差异较大,应注意加强各地区农村妇女宫颈癌检查,其意义重大,而加强宫颈癌检查项目相关环节的督导和质控是提高检查水平的有效措施。
Objective To understand the completion of cervical cancer screening project of rural women in Yanbian Prefecture and to propose improvement measures for rural women’s cervical cancer screening project so as to improve the level of cervical cancer screening. Methods A total of 9407 rural women aged 35-64 years in Yanbian Prefecture were examined for free cervical cancer. The results were retrospectively analyzed. Results The repeat screening rate of 9,407 rural women was 39.92%. The repeated screening rate in all regions was statistically significant (P <0.05). The positive rate of cytology in all subjects was 1.86% (P <0.05); all cytology positive subjects received colposcopy examination rate was 96.59%, the positive results of cytology in all regions colposcopy examination rate was no statistical difference Significance (P> 0.05). Cervical biopsy pathological diagnosis confirmed 23 cases of CIN Ⅰ lesions, cervical precancerous lesions in 17 cases, 2 cases of cervical cancer. The results of colposcopy biopsy and pathological examination showed that the positive rate of cytology was 24.71% (42/170). Conclusion The repeated screening of cervical cancer in rural women in different regions of Yanbian prefecture is quite different. It should be noted that it is of great significance to strengthen the examination of cervical cancer in rural women in all regions, while the supervision and quality control of related links in strengthening cervical cancer screening is to improve the level of examination Effective measures