目的 通过对农村妇女宫颈癌的筛查,了解安庆市农村妇女宫颈癌患病水平。方法 根据项目管理方案,收集2017—2019年安庆市各县(市区)免费宫颈癌筛查的35～64岁农村妇女筛查资料,分析癌前病变和宫颈癌早发现早诊断早治疗情况。结果 共筛查136 243名妇女,检出阳性个案1 087例,其中宫颈癌检出率19.08/10万,癌前病变检出率491.03/10万,不同年份检出率差异无统计学意义(χ²分别为3.887和3.781,P值均大于0.05);检出生殖道良性疾病30 147例,生殖道良性疾病患病率为22.13%。宫颈癌及癌前病变患者治疗率为95.61%。取材工具改进后的巴氏涂片法与TCT法用于宫颈细胞学筛查阳性检出率分别为3.11%和7.17%,差异无统计学意义(χ²=0.390,P=0.532)。结论 安庆市开展农村妇女免费宫颈癌筛查对早期发现宫颈癌及癌前病变具有重要意义。

Objective To investigate the prevalence of cervical cancer through the screening of cervical cancer in rural women in Anqing City from 2017 to 2019. Methods According to the project management plan,the screening data of rural women aged 35 to 64 who participated in free cervical cancer screening in all counties (including urban areas) of Anqing City from 2017 to 2019 were collected to analyze the early detection,early diagnosis and early treatment of precancerous lesions and cervical cancer. Results Of 136 243 women screened for cervical cancer,1 087 cases were positive,among which the detection rate of cervical cancer was 19.08/100 000,and the detection rate of precancerous lesions was 491.03/100 000.There was no significant difference in the detection rate in different years(χ² were 3.887 and 3.781,respectively,P values were greater than 0.05).A total of 30 147 cases of benign reproductive tract diseases were detected,and the prevalence of benign reproductive tract diseases was 22.13%.The treatment rate of cervical cancer and precancerous lesions was 95.61%.The positive rates of Pap smear and TCT in cervical cytology screening were 3.11% and 7.17% respectively,with no significant difference (χ²=0.390,P=0.532). Conclusion Free cervical cancer screening for rural women in Anqing City is of great significance for the early detection of cervical cancer and precancerous lesions.