2014-2016年贵州省农村妇女宫颈癌检查项目结果分析
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摘要
目的分析贵州省农村妇女宫颈癌检查项目结果,了解项目实施情况。方法通过妇幼重大公共卫生项目信息直报系统,对贵州省2014-2016年农村妇女宫颈癌检查项目的数据进行分析。结果 2014-2016年实际检查人数1 472 421例,检查率为100. 32%,其中2016年检查率100. 33%(491 597/490 000),高于2014年100. 07%(490 361/490000)和2015年100. 09%(490 463/490 000)。3年共检查出生殖道感染455 493人次,检出率为30. 93/100人次(455493/1 472 421);组织病理学应查12 487人次,实查11 079人次,宫颈病理检查随访率88. 72%(11 079/12 487)。2015和2016年的宫颈低级别病变的检出率均低于宫颈高级别病变的检出率。结论 2014-2016项目的检查率在逐步提高,但是,我们要重视生殖道感染患病情况,完善初筛检查方式,提高病理诊断能力,加强阳性的追踪管理。
Objective To analyze the current situation of cervical cancer screening for rural women in Guizhou,and to understand the implementation of the project. Methods The data of the cervical cancer screening project for rural women in Guizhou from 2014 to 2016 were analyzed by the online report system of key women and children's public health service programs. Results In 2014-2016,1 470 000 rural women should be screened for cervical cancer in Guizhou,and the actual screening number was 1 472 421. The inspection rate was 100. 32%,of which the inspection rate in 2016 was 100. 33%( 491597/490 000),which was higher than 100. 07%( 49 0361/490 000) in 2014 and 100. 09%( 490 463/490 000) in 2015. 455 493 genital tract infections had been detected in the three years,and the detection rate was 30. 93/100( 455 493/1 472 421). 12 487 women should be investigated for histopathology,and 11 079 were actually investigated,and the follow-up rate of the cervical pathological examination was 88. 72%( 11 079/12 487). In 2015 and 2016,the detection rates of low-grade cervical lesions were lower than those of high-grade cervical lesion. Conclusion The inspection rate of the project has improved in 2014-2016,however,we should pay attention to the prevalence of genital tract infections,improve the initial screening methods,improve diagnostic capabilities,and strengthen positive tracking management.
Objective To analyze the current situation of cervical cancer screening for rural women in Guizhou,and to understand the implementation of the project. Methods The data of the cervical cancer screening project for rural women in Guizhou from 2014 to 2016 were analyzed by the online report system of key women and children's public health service programs. Results In 2014-2016,1 470 000 rural women should be screened for cervical cancer in Guizhou,and the actual screening number was 1 472 421. The inspection rate was 100. 32%,of which the inspection rate in 2016 was 100. 33%( 491597/490 000),which was higher than 100. 07%( 49 0361/490 000) in 2014 and 100. 09%( 490 463/490 000) in 2015. 455 493 genital tract infections had been detected in the three years,and the detection rate was 30. 93/100( 455 493/1 472 421). 12 487 women should be investigated for histopathology,and 11 079 were actually investigated,and the follow-up rate of the cervical pathological examination was 88. 72%( 11 079/12 487). In 2015 and 2016,the detection rates of low-grade cervical lesions were lower than those of high-grade cervical lesion. Conclusion The inspection rate of the project has improved in 2014-2016,however,we should pay attention to the prevalence of genital tract infections,improve the initial screening methods,improve diagnostic capabilities,and strengthen positive tracking management.
引文
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[13]徐曼,李玉梅,卢丽,等.十堰市生殖道感染育龄女性疾病知信行的相关性研究[J].现代预防医学,2017,44(15):2751-2755.
[14]杨丽,陈曲,付谦,等.中西部农村地区育龄妇女生殖道感染的就医行为及影响因素[J].中国妇幼保健,2013,28(12):1919-1922.
[15]宋波,吴久玲,宋莉,等.2012年我国农村妇女宫颈癌检查状况分析[J].中国妇幼卫生杂志,2015,6(1):1-4.
[16]曹泽毅.中华妇产科学[M].3版.北京:人民卫生出版社,2014:2013-2016.
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[18]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:308.
[19]马亚琪,刘爱军.宫颈癌及癌前病变病理诊断及研究进展[J].实用妇产科杂志,2015,31(11):803-805.
[2]陈亚,刘青,崔红梅,等.甘肃农村已婚妇女宫颈癌及妇科疾病患病现状分析[J].中国妇幼健康研究,2015,26(1):122-124.
[3]何朝华,何丹,吴方银,等.四川省宫颈癌高发地区农村妇女宫颈癌普查结果分析[J].中国妇幼保健,2010,25(31):4508-4509.
[4]赵粉花.云南省农村妇女宫颈癌检查项目结果分析[J].中国妇幼保健,2012,27(4):512-513.
[5]席毛毛,吉宁,何电,等.陕西省农村已婚育龄妇女生殖道感染现状调查[J].中国妇幼保健,2013,28(8):1316-1319.
[6]闫菊娥,廖胜敏,王丹.陕西省农村妇女宫颈癌检查成本效果分析[J].中国卫生事业管理,2015,32(2):138-141.
[7]王连英.北京地区女性生殖道感染就诊状况分析[J].现代预防医学,2012,39(4):850-853.
[8]陈丹,金卓杏,张晓兰,等.宫颈癌与女性生殖道感染的相关性研究[J].中华医院感染学杂志,2017,27(6):1374-1376,1383.
[9]黄欣欣,陈起燕.农村妇女宫颈癌前病变危险因素的1∶4病例-对照研究[J].中国妇幼保健,2015,30(35):6322-6324.
[10]陈永霞,常晶晶,谢静玉,等.2009-2011年宁夏回族自治区农村妇女宫颈癌检查结果分析[J].中国妇幼保健,2015,20(3):365-366.
[11]李红,罗艳,晁晶,等.生殖道感染与宫颈癌及宫颈上皮内瘤变的相关性[J].中国妇幼保健,2017,32(11):2427-2428.
[12]刘小舟,刘宏.遂川县农村妇女生殖普查状况及开展健康促进的效果研究[J].现代预防医学,2014,41(17):3136-3137,3164.
[13]徐曼,李玉梅,卢丽,等.十堰市生殖道感染育龄女性疾病知信行的相关性研究[J].现代预防医学,2017,44(15):2751-2755.
[14]杨丽,陈曲,付谦,等.中西部农村地区育龄妇女生殖道感染的就医行为及影响因素[J].中国妇幼保健,2013,28(12):1919-1922.
[15]宋波,吴久玲,宋莉,等.2012年我国农村妇女宫颈癌检查状况分析[J].中国妇幼卫生杂志,2015,6(1):1-4.
[16]曹泽毅.中华妇产科学[M].3版.北京:人民卫生出版社,2014:2013-2016.
[17]李建梅,魏月华,李卫东.4128例宫颈液基细胞学的检查分析[J].现代预防医学,2007,34(11):2187-2188,2190.
[18]谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:308.
[19]马亚琪,刘爱军.宫颈癌及癌前病变病理诊断及研究进展[J].实用妇产科杂志,2015,31(11):803-805.