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目的 在宫颈癌高发区通过对高危人群实施跟踪随访筛查以达到宫颈癌早期诊断和早期治疗.方法 对目标人群的30～59岁适龄妇女应用醋染(VIA)和碘染(VILI)进行初筛,结合电子阴道镜检和病理检查进而明确诊断.结果 2006～2007年共筛查5 595人,随访检查3 676人,最终病理诊断结果证实CIN Ⅰ 189例,CIN Ⅱ 25例,CIN Ⅲ/原位癌19例,宫颈浸润癌8例.结论 碘染、醋染作为宫颈癌的初筛方法 其符合率分别为41.6%和64%,但结合阴道镜及镜下定位活检病理检查可大大提高宫颈癌癌前病变及早期宫颈癌的诊断率.“,”Objective To provide data for the early diagnosis and early treatment of cervical cancer by tracking and follow-up screen the high-risk groups of cervical cancer living in high incidence areas. Methods The target population of women (30～59 years old) were firstly screened using vinegar (VIA) and iodine (VILI) staining methods, and then combined with an electronic colposcopy and further pathological examination for final definitive diagnosis. Results 5 595 people were screened by VIA and VILI and 3 676 of them were checked by electronic colposcopy and further pathological examination. The pathology results confirmed that there were 189 cases of CIN Ⅰ, 25 cases of CIN Ⅱ, 19 cases of in situ CIN Ⅲ/ carcinoma and 8 cases of invasive cervical. Conclusion The accurate rate of cervical cancer screening using iodine and vinegar staining methods was 41.6% and 64.0%, respectively. The iodine and vinegar staining methods combined with electronic colposcopy and biopsy under positioning pathological examination for cervical cancer can greatly enhance the accurate rate of precancerous lesions and early cervical cancer diagnosis.