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1、宫颈癌机会性筛查的应用(贵州省铜仁市妇幼保健院；贵州铜仁554300)［摘要］目的：探讨宫颈癌机会性筛查的应用及意义，促进女性生殖健康。方法:选取我院2014年1月一2015年1月在铜仁市妇幼保健院妇科门诊就诊的患者行机会性筛查，通过液基细胞学(TCT)筛查非孕妇女、宫颈感染HPV检测，筛查结果异常的阳性者做阴道镜检查，活检组织病理学诊断为最终诊断标准，评价机会性筛查用于宫颈癌早诊的意义。结果：3873例患者中大部分患者不了解宫颈癌相关知识，检出细胞学阳性566例，阳性检出率14.61%,其中288例行高危HPV检测，感染率46.18%(133/288)，244例
2、行阴道镜+活检或ECC,活检或ECC病理结果为:炎症126例，CINI65例，CINII—III46例,SCC7例。2011年一2012年宫颈病变检岀率与2014年一2015年比较差异有统计学意义(P<0.05)。结论：通过机会性筛查相关干预措施有助于提高患者对宫颈癌的认知程度，是全面防治宫颈癌的重要内容;机会性筛查效果好，能够早期发现宫颈病变，是行之有效的宫颈癌筛查方法，值得推广应用。［关键词］宫颈肿瘤；机会性筛查；液基细胞学检查；人乳头瘤病毒。TheApplicationofOpportunisticScreeningforCervicalCancer.LuC
3、henglin,,MaternalandChildCareServiceCentre,Tongren,Guizhou.(554300)［Abstract］Objective:DiscusstheapplicationandsignificanceofopportunisticscreeningforCervicalCancer,Promotingwomen'sreproductivehealth.Methods:InourhospitalfromJanuary2014January2015gynecologyclinicinTongrenmaternalandch
4、ildhealthhospitalforpatientswithopportunisticscreeningByliquidbasedcytology(TCT)screeningofnonpregnantwomen,cervicalinfectionHPVtesting,screeningresultsofabnormalpositiveforthetest.Evaluationofopportunisticscreeningforearlydiagnosisofcervicalcarcinoma,Diagnosticcriteriaforthefinaldiag
5、nosisofbiopsy.Result:In3873patients,mostofthepatientsdidnotunderstandtheknowledgeofcervicalcancer,and566caseswerepositive.Positivedetectionratewas14.61%,In288casesofhighriskHPVdetection,Theinfectionratewas46.18%(133/288),244casesunderwentvaginalbiopsyorECC,CheckorECCpathologyresults:I
6、nflammationin126cases,65casesofCINIandCINII-III46cases,SCC7casesIn2012and2014,thedetectionrateofcervicallesionswasstatisticallysignificantdifferencebetween2015and2011(P<0.05).conclusion:Throughtheopportunisticscreeninginterventionsarehelpfultoimprovethecognitionofthepatientsofcervi
7、calcancer,isanimportantpartofcomprehensivepreventionandtreatmentofcervicalcancer;opportunisticscreeningeffectisgood,candetectearlycervicallesionsandcervicalcancerscreeningmethodiseffective,itisworthyofpopularizationandApplication.KeyWords］CervicalNeoplasm;OpportunisticScreening;Liquid
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