摘要
[目的]了解上海市农村妇女宫颈癌筛查成效,为进一步优化宫颈癌防控策略提供依据。[方法]依据国家统一制定的“两癌”筛查项目技术方案,对上海6个国家宫颈癌筛查项目试点区35~64岁农村妇女进行宫颈癌筛查,分析宫颈癌筛查信息系统中2014—2020年上报的84162名农村妇女宫颈癌筛查信息数据。[结果]在84162名筛查对象中,宫颈癌前病变检出率150.9/10万,宫颈癌检出率26.1/10万,“宫颈癌前病变+癌”检出率177.0/10万,早诊率89.9%(134/149),各年度宫颈癌前病变检出率、宫颈癌检出率和早诊率差异均无统计学意义(P>0.05)。宫颈细胞学阳性检出率16.2‰(1364/84162),各年度差异无统计学意义(P>0.05)。阴道镜异常检出率18.9‰,宫颈组织病理学异常检出率3.3‰,各年度阴道镜和宫颈组织病理学异常检出率差异均有统计学意义(P<0.05)。上报宫颈病变个案275例,其中245例(89.1%)为45岁以上女性,273例(99.3%)为中学及以下学历,203例(73.8%)以往接受过宫颈相关检查,272例(98.9%)宫颈细胞学检查异常,269例(97.8%)阴道镜检查异常,145例(52.7%)组织病理学检查异常,127例(46.2%)为宫颈癌前病变,22例(8.0%)为宫颈癌,治疗率98.5%(271/275),治疗后随访率81.5%(224/275)。[结论]宫颈癌筛查工作显现出一定成效,提高农村妇女防控知识普及教育和自身保健意识将有助于宫颈癌的防控。
[Purpose]To screening cervical cancer among women in suburban of Shanghai.[Method]Cervical cancer screening was conducted among women aged 35~64 in 6 pilot areas according to the unified protocol.The screening results of 84162 women reported from 2014 to2020 were analyzed.[Results]In 84162 women,the detection rate of precancerous lesions was150.9/10~5,the detection rate of cervical cancer was 26.1/10~5with an early diagnosis rate of 89.9%(134/149),there were no significant differences in the detection rate of cervical precancerous lesions or cancer or the early diagnosis rate among different years(P>0.05).The positive rate of cervical cytology was 16.2‰(1364/84162),there was no significant difference among different years(P>0.05).The abnormal detection rate of colposcopy was 18.9‰,and that of histopathology was 3.3‰,there were significant differences in the abnormal detection rates of colposcopy and cervical histopathology among different years(P<0.05).There were 275 cases of cervical lesions reported,among which 245(89.1%)were at age of 45 and above,273(99.3%)had a secondary level education,203(73.8%)had received cervical examination previously,272(98.9%)had abnormal cervical cytology,269(97.8%)had abnormal colposcopy results,145(52.7%)had histopathological abnormality,127(46.2%)had pre-cancerous lesions and 22(8.0%)had cancer diagnosed by histopathology.The treatment rate was 98.5%(271/275)and the follow-up rate was81.5%(224/275).[Conclusion]Cervical cancer screening has shown some success.Improving the prevention knowledge and health awareness will contribute to the prevention and control of cervical cancer.
作者
朱丽均
李力
彭艾平
程妤奋
胡淑怡
朱丽萍
ZHU Li-jun;LI Li;PENG Ai-ping;CHENG Yu-feng;HU Shu-yi;ZHU Li-ping(Shanghai Maternal and Child Health Care Center,Shanghai 200062,China;Daping Hospital Affiliated to the Third Military Medical University,Chongqing 400042,China;International Peace Maternal and Child Health Hospital Affiliated to Jiaotong University,Shanghai 200030,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2022年第5期361-366,共6页
China Cancer
基金
上海市卫生和计划生育委员会科研项目(201840230)
上海市公共卫生体系建设三年行动计划项目。
关键词
筛查
宫颈癌
癌前病变
农村妇女
上海
screening
cervical cancer
precancerous lesion
rural woman
Shanghai
