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[目的]评价醋酸染色法(VIA)联合碘染色法(VILI)对农村地区宫颈癌筛查的可行性和价值。[方法]采用VIA/VILI在杭州市萧山区农村28~55岁的妇女人群中开展宫颈癌筛查。VIA或VILI阳性者行阴道镜检查,阴道镜检查阳性者转送上级医院进一步检查。[结果]2007~2009年期间,总筛查1697人次,其中低级别CIN17例、高级别CIN10例、浸润癌2例。[结论]在资源、设备有限的农村地区,VIA/VILI方法对妇女开展宫颈癌及癌前病变的筛查是可行的,有利于宫颈癌的早发现及早诊早治。
[Objective] To evaluate the feasibility and value of acetic acid staining (VIA) combined with iodine staining (VILI) in screening cervical cancer in rural areas. [Methods] Cervical cancer screening was carried out in VIA / VILI in the rural population of 28-55 years old in Xiaoshan District, Hangzhou. VIA or VILI positive colposcopy, colposcopy positive forwarded to the higher hospital for further examination. [Results] From 2007 to 2009, there were 1697 total screening, including 17 cases of low grade CIN, 10 cases of high grade CIN and 2 cases of invasive carcinoma. [Conclusion] The VIA / VILI method in women with limited resources in rural areas is feasible for screening women for cervical cancer and precancerous lesions, which is beneficial to the early detection of cervical cancer and early diagnosis and early treatment of cervical cancer.