CAJ | 학술논문

目的：了解珠海高新区妇女宫颈癌的发病情况，探索宫颈癌的防治措施。方法对本辖区4256名适龄妇女采用宫颈脱落细胞巴氏涂片的方法进行宫颈癌筛查，初筛结果异常患者行宫颈液基细胞学（TCT）、人乳头瘤病毒检测（HPV-DNA检测）、阴道镜检查、组织病理学检查。结果4256名初筛妇女中发现异常病例79例，筛查阳性率为1.86%。其中无明确诊断意义的不典型鳞状细胞(ASCUS)53例，不能排除高级别鳞状上皮内病变不典型鳞状细胞(ASC-H)6例，低度鳞状上皮内病变(LSIL)12例，高度鳞状上皮内病变(HSIL)8例。结论对本辖区适龄妇女开展宫颈癌免费筛查项目是早期发现宫颈癌前病变及宫颈癌的重要措施，对早诊断、早治疗，降低宫颈癌发病率及死亡率，提高妇女健康水平有重要意义。
목적：료해주해고신구부녀궁경암적발병정황，탐색궁경암적방치조시。방법대본할구4256명괄령부녀채용궁경탈락세포파씨도편적방법진행궁경암사사，초사결과이상환자행궁경액기세포학（TCT）、인유두류병독검측（HPV-DNA검측）、음도경검사、조직병이학검사。결과4256명초사부녀중발현이상병례79례，사사양성솔위1.86%。기중무명학진단의의적불전형린상세포(ASCUS)53례，불능배제고급별린상상피내병변불전형린상세포(ASC-H)6례，저도린상상피내병변(LSIL)12례，고도린상상피내병변(HSIL)8례。결론대본할구괄령부녀개전궁경암면비사사항목시조기발현궁경암전병변급궁경암적중요조시，대조진단、조치료，강저궁경암발병솔급사망솔，제고부녀건강수평유중요의의。
Objective To investigate the incidence of cervical cancer in Zhuhai high tech Zone women, exploration of cervical cancer prevention measures. Methods in 4256women with cervical exfoliated cels Pap smear for cervical cancer screening, the results of screening patients with abnormal cervical liquid based cytology (TCT), detection of human papiloma virus (HPV-DNA), colposcopy, histopathology. Results of 4256 cases ofabnormal screening women were found in 79 cases, the positive rate of screening was 1.86%. Atypical squamous cels with no clear diagnosis (ASCUS) in 53 cases, cannot exclude high-grade squamous intraepithelial lesion of atypical squamous cels (ASC-H) in 6 cases, low grade squamous intraepithelial lesion (LSIL) in 12 cases, high-grade squamous intraepithelial lesion (HSIL) in 8 cases. Conclusion carrying out in the area of cervical cancer screening among women of childbearing age is early discovery of important measures of cervical precancerous lesions and cervical cancer, the early diagnosis and early treatment, reduce cervical cancer incidence and mortality, it is important to improve the level of women's health.