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目的介绍上海市降低宫颈癌发病率及提高诊治质量的经验。方法通过子宫卵巢癌专题协作组，定期开展宫颈癌防治工作：①调查宫颈癌的高危因素；②探索普查优选方案；③分析宫颈癌误诊原因；④每年统计宫颈癌的标化率；⑤比较１９９５年妇科三癌（宫颈、子宫、卵巢癌）的标化率。结果①宫颈癌的发病年龄５０岁以上者占９５．８％。②提高了读片质量。③１９９８年共误诊５例，延误就诊了３例，漏诊２例。④宫颈癌标化率从１９７８～１９８２年的１１．８／１０万，下降到１９９５年的２．１／１０万。⑤１９９５年妇科三癌的标化率分别为：宫颈癌２．１／１０万，子宫内膜癌４．４／１０万，卵巢癌６．４／１０万。结论改进普查方法，提高了普查质量，达到了早防、早诊及早治，使上海市居民的宫颈癌患病率下降
Objective To introduce Shanghai’s experience in reducing the incidence of cervical cancer and improving the quality of diagnosis and treatment. METHODS: Through the topical cooperation group of uterus and ovarian cancer, prevention and treatment of cervical cancer were carried out regularly: 1 Investigation of high-risk factors of cervical cancer; 2 Exploration of census optimization programs; 3 Analysis of causes of misdiagnosis of cervical cancer; 4 Annual statistics of standardized rates of cervical cancer; 1995 standardized rate of gynecological cancer (cervical, uterus, ovarian cancer). Results 1 The age of onset of cervical cancer accounted for 95.8%. 2 improve the quality of reading. 3 In 1998, 5 cases were misdiagnosed, 3 cases were delayed and 2 cases were missed. 4 The standardized rate of cervical cancer decreased from 11.8 per 100,000 in 1978-1982 to 2.1 per 100,000 in 1995. 5 In 1995, the standardized rates of three gynecological cancers were: cervical cancer 2.1/10 million, endometrial cancer 4.4/10 million, and ovarian cancer 6.4/10 million. Conclusion Improvement of census methods has improved the quality of census and achieved early prevention, early diagnosis and early treatment, resulting in a decrease in the prevalence of cervical cancer among Shanghai residents.