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目的:了解吉林市丰满区妇女宫颈癌的发病情况,采取有效干预措施降低宫颈癌发生率。方法:2005年11月～2007年12月对辖区8 596例已婚育龄妇女进行生殖道感染干预,其中宫颈脱落细胞学检查8 263例,采用巴氏涂片及巴氏5级分类法报告,对巴氏ⅡB和Ⅲ级以上者建议宫颈活检。结果:8 263例中巴氏Ⅰ级5 686例,发生率为68.81%;巴氏Ⅱ级中:ⅡA2 545例、ⅡB27例,发生率分别为30.80%、0.33%;巴氏Ⅲ级5例,发生率为0.06%。经病理证实宫颈癌4例,发生率为46.53/10万,其中原位癌累腺3例,宫旁转移1例。结论:宫颈癌患病率在该区处于较高水平;加大宣传力度,广泛深入开展宫颈防癌普查是降低宫颈癌患病率的关键。
Objective: To understand the incidence of cervical cancer in Fengman District of Jilin City and to take effective interventions to reduce the incidence of cervical cancer. Methods: From November 2005 to December 2007, 8 596 married women of childbearing age were involved in genital tract infection. Among them, 8 263 cases of exfoliative cytology were examined by Pap smear and Papanicum grade 5 classification. Cervical biopsy is recommended for Pap II and III. Results: There were 5 686 cases of 8263 cases of middle-grade Papanicolaou in 688.1% of cases. In class ⅡA2 545 cases and ⅡB 27 cases, the incidence rates were 30.80% and 0.33% The incidence was 0.06%. 4 cases of cervical cancer confirmed by pathology, the incidence was 46.53 / 100,000, of which 3 cases of adenocarcinoma in situ carcinoma, 1 case of uterine metastasis. Conclusion: The prevalence of cervical cancer in this area is at a high level; intensify publicity efforts, and extensively carry out cervical cancer screening is the key to reduce the prevalence of cervical cancer.