CAJ | 학술논문

目的：：了解东莞市大岭山镇妇女宫颈癌和宫颈癌前病变的流行病学特征。方法：回顾性分析2012年1月至2014年12月东莞市大岭山镇4402例接受宫颈癌筛查的妇女的临床资料,分析该镇妇女宫颈癌和宫颈癌前病变的发病率、检出率等。结果：宫颈液基细胞学检测异常率为2.09％(92/4402), HPV检查阳性率为5.63％(249/4402)。41~50岁年龄段CIN发病率(4.78％)最高。随着宫颈液基细胞学检测检查级别的升高,HPV阳性率呈明显增高趋势。二者联合检出率明显高于单项检查的检出率( P<0.05)。结论：东莞市大岭山镇妇女CIN检出率较高,应从35岁始加强筛查,宫颈液基细胞学检测联合HPV筛查是宫颈癌早诊断、早治疗的重要措施。
목적：：료해동완시대령산진부녀궁경암화궁경암전병변적류행병학특정。방법：회고성분석2012년1월지2014년12월동완시대령산진4402례접수궁경암사사적부녀적림상자료,분석해진부녀궁경암화궁경암전병변적발병솔、검출솔등。결과：궁경액기세포학검측이상솔위2.09％(92/4402), HPV검사양성솔위5.63％(249/4402)。41~50세년령단CIN발병솔(4.78％)최고。수착궁경액기세포학검측검사급별적승고,HPV양성솔정명현증고추세。이자연합검출솔명현고우단항검사적검출솔( P<0.05)。결론：동완시대령산진부녀CIN검출솔교고,응종35세시가강사사,궁경액기세포학검측연합HPV사사시궁경암조진단、조치료적중요조시。
Objective:To investigate the epidemiological characteristics of cervical cancer and cervical intraepithelial neoplasia ( CIN) in females in Dalingshan town, Dongguan city. Methods: The clinical data of 4402 females, who received cervical cancer screening between January 2012 and December 2014 of in Dalingshan town, Dongguan city, were retrospectively analyzed. The incidence and screening rate of cervical cancer and CIN in the female subjects were determined. Results:The abnormal rate of cervical liquid-based cytology ( LCT) was 2.09% (92/4402), and the human papilloma virus (HPV) positive rate was 5.63% (249/4402). The CIN incidence in patients aged 41 to 50 years old was the highest ( 4. 78%) . Significantly increased trend of HPV positive rate was found along with the increasing examination level of cervical LCT. The screening rate of the two combined examination was significantly higher than that of the single examination (P<0.05). Conclusion: The CIN screening rate of of the females in Dalingshan town, Dongguan city is high. The screening should be strengthened for patients aged from 35 years old. The cervical LCT and HPV screening is a significant measure for early diagnosis and treatment of cervical cancer.