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[目的]评价在女职工体检中采用醋酸肉眼观察法(VIA)的筛查宫颈病变的效果。[方法]对737位女职工进行妇科检查,同时采用VIA及巴氏涂片法进行宫颈病变的筛查,评价两种方法的宫颈病变检出率。[结果]参检率为75.20%(737/980),参检妇女关于癌症的知晓率为62.5%;宫颈癌的筛查方法的知晓率为42.5%,其中宫颈细胞学检查知晓率为36.5%;人乳头瘤病毒知晓率为19%;CINII级以上病变的检出率VIA法为0.54%(4/737);巴氏涂片法为0,两种检查方法比较差异有统计学意义(P﹤0.05)。[结论]大多数妇女对宫颈癌症的防治知识了解甚少,需加强知识的普及;应用VIA联合巴氏涂片法进行宫颈癌的初筛可进一步提高癌前病变的检出率。
[Objective] To evaluate the effect of screening visual acuity (VIA) for cervical lesions in women workers’ medical examination. [Method] Gynecological examinations were conducted on 737 female workers. The cervical lesions were screened by VIA and Pap smear, and the detection rate of cervical lesions by two methods was evaluated. [Results] The detection rate was 75.20% (737/980). The awareness rate of cancer among participating women was 62.5%. The awareness rate of cervical cancer screening method was 42.5%. The awareness rate of cervical cytology was 36.5% ; The awareness rate of HPV was 19%; VIA method was 0.54% (4/737) for CIN class II or higher; Pap smear method was 0, the difference between the two methods was statistically significant (P <0.05). [Conclusion] Most women do not know much about the prevention and treatment of cervical cancer, and the popularization of knowledge should be strengthened. The screening of cervical cancer by VIA and Pap smear can further increase the detection rate of precancerous lesions.