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目的:了解江门市郊区农村妇女宫颈癌及癌前病变发病情况,探讨用宫颈刮片细胞学检查方法开展宫颈癌普查的可行性。方法:采用传统宫颈刮片TBS分级报告法对10 412例农村妇女进行宫颈疾病筛查,对不典型鳞状细胞(ASCUS)及以上病变患者进行阴道镜检查,并取组织进行病理检查,了解宫颈癌及癌前病变发病情况。结果:在10 412例官颈刮片细胞学检查中,阴性(NSIL)10 309例,细胞学异常103例,包括直接诊断为宫颈癌1例。进行阴道镜检查103例,病理诊断宫颈癌前病变24例,宫颈癌6例,炎症改变73例。结论:积极对农村妇女进行普遍性宫颈癌筛查可及早发现宫颈癌前病变、宫颈癌,做到早发现、早诊断、早治疗,预防并降低宫颈癌的发生;传统宫颈刮片TBS分类法检查无痛苦、无损伤、简便易行、价格低廉,可作为群体性宫颈癌普查的首选。
Objective: To understand the incidence of cervical cancer and precancerous lesions in rural women in Jiangmen suburbs, and to explore the feasibility of using cervical smear cytology to carry out the cervical cancer screening survey. Methods: A total of 10 412 rural women were screened for cervix disease by traditional TES grading method. Colposcopy was performed on atypical squamous cell carcinoma (ASCUS) and above lesions. Tissues were taken for histopathological examination to detect cervical The incidence of cancer and precancerous lesions. RESULTS: Of 10 412 cervical smear cytology tests, 10 309 were negative (NSIL) and 103 were cytologically abnormal, including 1 diagnosed as cervical cancer. Colposcopy in 103 cases, pathological diagnosis of cervical precancerous lesions in 24 cases, 6 cases of cervical cancer, inflammatory changes in 73 cases. Conclusion: The universal cervical cancer screening for rural women can detect cervical precancerous lesions and cervical cancer early, achieve early detection, early diagnosis and early treatment, and prevent and reduce the occurrence of cervical cancer. The traditional cervical smear TBS classification No painful examination, no damage, simple and easy, low price, as the first choice of mass cervical cancer screening.