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目的分析我国农村妇女宫颈癌检查项目工作现状。方法利用全国重大公共卫生项目“两癌”检查项目信息直报系统,对2012年宫颈癌检查上报数据进行分析。结果 2012年全国对35~64岁的农村妇女进行宫颈癌检查10 621 482例,任务完成率106.2%,其中东、中、西部任务完成率分别为97.2%、112.9%及102.4%。检查人群中,81.76%的妇女既往从未接受过宫颈癌检查。运用宫颈细胞学检查及醋酸/碘染色(VIA/VILI)方法进行初筛的比例分别为77.17%和18.55%。在宫颈细胞学检查中,运用TBS描述性报告阅片的比例为65.49%,巴氏分级报告的比例为34.51%。宫颈细胞学检查结果异常或可疑病例检出率为3.93%,醋酸/碘染色检查结果异常或可疑病例检出率为11.05%。宫颈癌初筛检查的可疑/异常人群中,分别有17.01%、9.66%的妇女未接受阴道镜及病理学检查。宫颈癌前病变(CINII、III)及宫颈癌检出率124.87/10万、早诊率89.60%。结论多数地区应用宫颈细胞学检查方法作为宫颈癌初筛检查手段,但应用TBS报告结果的比例和异常结果检出率尚需进一步提高,亟需加强参与宫颈癌检查的相关人员技术培训及可疑/阳性人群的管理,进一步提高宫颈癌检查效果。
Objective To analyze the status quo of cervical cancer screening in rural women in China. Methods The report information system of cervical cancer screening in 2012 was analyzed by using the information direct reporting system of national major public health project “two cancers ”. Results In 2012, 10 621 482 cervical cancer examinations were performed on rural women aged 35-64 years. The completion rate of the task was 106.2%. The completion rates of the tasks in the eastern, central and western regions were 97.2%, 112.9% and 102.4% respectively. Of the population examined, 81.76% of women had never had a cervical cancer test before. Cervical cytology and acetic acid / iodine staining (VIA / VILI) method of screening for the proportion of 77.17% and 18.55%. In cervical cytology, the proportion of descriptive reports using TBS was 65.49% and that of Papanalism was 34.51%. Cervical cytology test results were abnormal or suspicious cases were detected in 3.93%, acetic acid / iodine staining test results were abnormal or suspicious cases was 11.05%. Among the suspicious / abnormal cervical screening patients, 17.01% and 9.66% of the women did not receive colposcopy and pathological examination respectively. Cervical precancerous lesions (CINII, III) and cervical cancer detection rate of 124.87 / 100000, a diagnosis rate of 89.60%. Conclusion Cervical cytology is the most commonly used screening test for cervical cancer in most areas. However, the detection rate of TBS and the detection rate of abnormal results need to be further improved. It is urgent to strengthen the technical training and suspicious / Positive crowd management, to further improve the cervical cancer test results.