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目的探讨宫颈癌筛查的VIA/VILI技术在社区卫生服务中推广应用的可行性。方法组织广西南宁地区社区服务的妇幼保健工作者培训VIA/VILI技术,分析对该技术的掌握情况。结果参加培训人员共有162人,其中基层卫生院的占85.18%,住院医师、护士、助产士占69.75%;理论测试成绩良好以上约88.73%。实际工作中初学者和熟练掌握者所检查出的CIN级例数比较差异无统计学意义,(P=0.427>0.05)。结论 VIA/VILI操作简单,易于掌握,应用VIA/VILI技术进行宫颈癌筛查对尚未建立起细胞学诊断系统的社区卫生服务中心可提高宫颈癌前病变检出率,具有很好应用前景。
Objective To explore the feasibility of cervical cancer screening VIA / VILI technology in the promotion and application of community health services. Methods MIA health workers in community service in Nanning, Guangxi were trained in VIA / VILI technology, and the mastery of the technology was analyzed. Results A total of 162 trainees participated in the training, of which 85.18% were primary hospitals, 69.75% were resident doctors, nurses and midwives, and 88.73% were good at theoretical tests. There was no significant difference in the number of CIN cases detected between beginners and proficient in practical work (P = 0.427> 0.05). Conclusions VIA / VILI is simple and easy to master. VIA / VILI technology is applied to screen cervical cancer. Community CHS, which has not established a cytological diagnostic system, can improve the detection rate of cervical precancerous lesions and has good application prospect.