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目的探讨宫颈刮片对宫颈癌筛查的意义及各年龄段宫颈癌的发病情况。方法 2010年10月~2011年6月,对接受普查的3 972名已婚妇女的结果进行分析。结果 3 972例妇女宫颈刮片细胞检查中,3 050例(76.72%)在正常范围内;197例(4.95%)为中度炎症;315例(8.02%)为重度炎症;94例(2.39%)为萎缩反应性细胞改变;ASC-US 209例,ASC-H 73例;LSIL22例(0.55%);HSIL10例(0.25%);SCC 1例(0.03%);AC 1例(0.03%)。40岁组的重度炎症、萎缩反应性细胞改变、ASC-US、ASC-H、LSIL发生率明显低于50岁组,经检验差异有统计学意义(检验值分别为χ2=72.03,P<0.05;χ2=52.21,P<0.05;χ2=8.82,P<0.05;χ2=20.17,P<0.05;χ2=13.94,P<0.05)。50岁组的重度炎症发生率低于60岁组,经检验差异有统计学意义(χ2=19.99,P<0.05)。结论 40岁以后为宫颈癌高发年龄,应引起足够重视。
Objective To investigate the significance of cervical smears on cervical cancer screening and the incidence of cervical cancer in all ages. Methods From October 2010 to June 2011, the results of 3 972 married women who were surveyed were analyzed. Results Among 3 972 women with cervical smears, 3 050 cases (76.72%) were in the normal range, 197 cases (4.95%) were moderate inflammation, 315 cases (8.02%) were severe inflammation, 94 cases ) Were ASC-US 209 cases, ASC-H 73 cases; LSIL22 cases (0.55%); HSIL10 cases (0.25%); SCC1 cases (0.03%); AC1 cases (0.03%). The incidence of ASC-US, ASC-H and LSIL was significantly lower in the 40-year-old group than in the 50-year old group (χ2 = 72.03, P <0.05, respectively) ; χ2 = 52.21, P <0.05; χ2 = 8.82, P <0.05; χ2 = 20.17, P <0.05; χ2 = 13.94, P <0.05). The incidence of severe inflammation in the 50-year-old group was lower than that in the 60-year-old group, and the difference was statistically significant (χ2 = 19.99, P <0.05). Conclusion After 40 years old, the high incidence of cervical cancer, should pay enough attention.