LIU Hong-mei. Research of Screening for Cervical Lesion Among Women of Childbearing Age. [J]. Health Medicine Research and Practice 9(2):61-62(2012)DOI:
Research of Screening for Cervical Lesion Among Women of Childbearing Age
摘要
目的探讨育龄妇女宫颈不良病变的特征
评价女性宫颈病变的发展趋势
探索有效的预防措施。方法收集本院妇科门诊2009-2011年TCT筛检人群资料
共5 860例女性合格宫颈细胞标本进行TCT检查
对TCT阳性对象再进行活检病理诊断。结果 5 860例标本中共筛检出138例宫颈细胞异常标本
其中ASC/AGC 120例
检出率2.05%;LSIL 8例
检出率0.14%;HSIL 6例
检出率0.10%;SCC/AC 4例
检出率0.07%;20岁以下年龄组2例
20岁至30岁组37例。病理活检有131例确诊
占TCT阳性者的94.93%
其中CINⅠ47例
检出率为0.8%;CINⅡ49例
检出率0.84%;CINⅢ38例
检出率0.65%;鳞癌/腺癌4例
检出率为0.07%。结论宫颈病变在育龄妇女中有较高的检出率
并出现年轻化趋势
TCT筛查是及早发现癌前病变及防治宫颈癌的关键。
Abstract
Objective To probe into the characteristics of the cervical malignant lesions among women of childbearing age and evaluate the development trend of cervical lesions among the female so as to explore effective preventive measures.Method Data of patients who had TCT screening in the gynecology outpatient department of our hospital from 2009 to 2011 were collected.The qualified samples of cervical cell from a total of 5 860 females were screened with TCT and pathological diagnosis by biopsy was made for the positive results.Results A total of 138 cervical cell samples were screened as abnormal from the 5 860 samples
among which there were 120 cases of ASC/AGC with a detection rate of 2.05%;8 cases of LSIL with a detection rate of 0.14%;6 cases of HSIL with a detection rate of 0.10%;4 cases of SCC/AC with a detection rate of 0.07%;there were 2 cases in the group under 20 years old and 37 cases in the group between 20 and 30 years old.The pathologic biopsy made a definite diagnosis of 131 cases
which accounted for 94.93% of the TCT positives
including 47 cases of CINⅠwith a detection rate of 0.8%;49 cases of CINⅡwith a detection rate of 0.84%;38 cases of CIN Ⅲ with a detection rate of 0.65% as well as 4 cases of squamous carcinoma /adenocarcinoma with a detection rate of 0.07%.Conclusion The detection rate of the cervical lesions is relatively high among women of childbearing age
which presents a youth-oriented tendency
and the TCT screening is crucial to find out precancerous lesions and prevent and cure the cervical carcinoma.