中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
2期
339-341
,共3页
农村妇女%宫颈癌%癌前病变%液基薄层细胞学检查%人乳头瘤病毒
農村婦女%宮頸癌%癌前病變%液基薄層細胞學檢查%人乳頭瘤病毒
농촌부녀%궁경암%암전병변%액기박층세포학검사%인유두류병독
rural women%cervical cancer%precancerous lesions%liquid based thin-layer cytology test ( TCT)%human papilloma virus
目的：了解象山海岛地区农（渔）村妇女宫颈疾病的发病状况，提高宫颈癌的早诊和早治率，提升广大农（渔）村妇女的自我保健意识和健康水平。方法采用妇科内诊检查，采集宫颈细胞进行液基薄层细胞学检查（ TCT），对细胞学检查异常的患者进一步行阴道镜检查、人乳头瘤病毒（ HPV）检测、宫颈组织病理学检查。结果通过妇科检查发现57．35％的农（渔）村妇女患有宫颈疾病，其中以宫颈糜烂发病率最高（21．35％）；通过TCT检查发现宫颈细胞学异常发生率3．26％，癌前病变发生率120／万，宫颈癌发生率8．57／万。结论 TCT诊断结果采用TBS报告系统，对宫颈癌前病变的检出率高于传统的宫颈刮片巴氏细胞学报告。40～50岁的育龄妇女是宫颈癌的高发人群，持续感染HPV者是重点干预和检测的对象。应加强农（渔）村妇女的健康教育，提高其自我保健意识将有助于宫颈疾病的早期预防。
目的：瞭解象山海島地區農（漁）村婦女宮頸疾病的髮病狀況，提高宮頸癌的早診和早治率，提升廣大農（漁）村婦女的自我保健意識和健康水平。方法採用婦科內診檢查，採集宮頸細胞進行液基薄層細胞學檢查（ TCT），對細胞學檢查異常的患者進一步行陰道鏡檢查、人乳頭瘤病毒（ HPV）檢測、宮頸組織病理學檢查。結果通過婦科檢查髮現57．35％的農（漁）村婦女患有宮頸疾病，其中以宮頸糜爛髮病率最高（21．35％）；通過TCT檢查髮現宮頸細胞學異常髮生率3．26％，癌前病變髮生率120／萬，宮頸癌髮生率8．57／萬。結論 TCT診斷結果採用TBS報告繫統，對宮頸癌前病變的檢齣率高于傳統的宮頸颳片巴氏細胞學報告。40～50歲的育齡婦女是宮頸癌的高髮人群，持續感染HPV者是重點榦預和檢測的對象。應加彊農（漁）村婦女的健康教育，提高其自我保健意識將有助于宮頸疾病的早期預防。
목적：료해상산해도지구농（어）촌부녀궁경질병적발병상황，제고궁경암적조진화조치솔，제승엄대농（어）촌부녀적자아보건의식화건강수평。방법채용부과내진검사，채집궁경세포진행액기박층세포학검사（ TCT），대세포학검사이상적환자진일보행음도경검사、인유두류병독（ HPV）검측、궁경조직병이학검사。결과통과부과검사발현57．35％적농（어）촌부녀환유궁경질병，기중이궁경미란발병솔최고（21．35％）；통과TCT검사발현궁경세포학이상발생솔3．26％，암전병변발생솔120／만，궁경암발생솔8．57／만。결론 TCT진단결과채용TBS보고계통，대궁경암전병변적검출솔고우전통적궁경괄편파씨세포학보고。40～50세적육령부녀시궁경암적고발인군，지속감염HPV자시중점간예화검측적대상。응가강농（어）촌부녀적건강교육，제고기자아보건의식장유조우궁경질병적조기예방。
Objective To understand the incidence status of cervical diseases among rural (fishery) women in Xiangshan area, so as to improve the early diagnosis and treatment of cervical cancer and improve the self health care consciousness and health level of rural ( fishery) women.Methods Cervical cells were collected by pelvic examination to perform liquid based thin-layer cytology test ( TCT) , and colposcopy examination, HPV test and histopathological examination were further performed for cases with abnormal cytological results. Results Gynecological examination showed that 57.35%of rural ( fishery) women were diagnosed with cervical diseases and the incidence of cervical erosion was highest (21.35%).TCT examination revealed that the incidence of abnormal cervical cytology results, precancerous lesions and cervical cancer was 3.26%, 120/10 000 and 8.57/10 000, respectively.Conclusion TCT diagnosis revealed by TBS reporting system was superior to traditional cervical smear pap cytology report in detecting of precancerous lesions.Women of childbearing age ranging 40-50 years are high-risk group developing cervical cancer, and the cases with persistent infection of HPV are the objects of key intervention and testing.Strengthening rural ( fishery ) women ’ s health education and improving their self health care consciousness will contribute to the early prevention of cervical disease.
