1734名农村妇女宫颈癌筛查结果分析

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Abstract Objective To survey the present situation of women with cervica1 cancer and gyneco1ogica1 diseases in rura1 areas of Zhuhai，and to provide basis for screening cervica1 cancer in Zhuhai.Methods Data were co11ected from 1734 women who were invo1ved in cervica1 cancer screening among married rura1 women in Zhuhai from June 2014 to December.LCT was used to conduct cervica1 smear method for cervica1 cancer screening.At the same，routine gyneco1ogica1 examination was conducted for a11 participation women，and 1eucorrhea routine and abdomina1 gyneco1ogica1 B u1trasound examinations were inc1uded.Biopsy under co1poscope was used for LCT examination positive patients.Results Routine gyneco1ogica1 examination in 1734 cases，178 cases of vaginitis detected in benign disease，cervicitis was 416 cases，myoma of uterus was 37 cases，and the morbidity were respective1y 10.34%，23.99%and 2.13%，and there were statistica11y significant differences in the distribution of a11 kinds of diseases in different age groups（P＜0.01）.Abnorma1 cervica1 cyto1ogy in 23 cases，10 cases of atypica1 squamous ce11（ASC-US）were not c1ear1y defined and the detection rate was 0.58%.2 cases of atypica1 squamous epithe1ia1 ce11s　（ASC-H）that cou1d not be exc1uded from the squamous intraepithe1ia1 1esions，and the detection rate was 0.12%.Low grade squamous intraepithe1ia1 1esion（LSIL）in 5 cases，and the detection rate was 0.29%.High squamous intraepithe1ia1 1esion　（HSIL）in 6 cases，and the detection rate was 0.35%，and there was no significant difference in the detection rates of a11 types of LCT anoma1ies（P=0.684）.Abnorma1 cervica1 cyto1ogy patients conducted biopsy under biopsy found that the highest patho1ogica1 coincidence rate was ASC-H （100.0%）and coincidence rate of HSIL was 66.7%，and the difference was significant（P=0.008）.Conclusion The distribution of a11 kinds of gyneco1ogica1 diseases among the rura1 women in Zhuhai is different in different age groups，and LCT cyto1ogica1 examination revea1s that the the highest patho1ogica1 coincidence rate is ASC-H in the positive patients.

Key words： Cervica1 cancer screening Thinprep cyto1ogy test Rura1 women

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OU Yan-hong. Screening results analysis of cervical cancer in 1734 rural women[J]. 中国当代医药, 2016, 23(14): 41-43.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I14/41

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