Objective It provides the appraisal data to discuss the mass free screening model through free screening on cervical cancer for rural women. Methods The rural women aged 35-<65 year old with free screening on cervical cancer ,who are registered permanent residents from 14 township hospitals and community health service centers under the jurisdiction of Zengcheng Maternal and Child Care Hospital from 2010 to 2011 and from 2012 to 2013 by section were screened by naked﹣eye observation method,pap smear of endocervical cells and concentrated film﹣reading. The positive patients were inspected further with colposcope and biopsy under the colposcope ,who was gold standard in the pathological diagnosis. Results During 2010 and 2011,it adopted VIA/VILI naked﹣eye observation to screen cervical cancer of 62 255 rural women aged 35-<60 years old ,ac﹣counting for 0.14%of cervical intraepithelial neoplasia(CIN) gradeⅡin relevance ratio,and 77.78%of early﹣detection rate;during 2012 and 2013,it adopted pap smear of endocervical cells film﹣reading to screen cervical cancer of 62 255 rural women aged 35-<65 years old,accounting for 0.35%in cervical intraepithelial neoplasia(CIN) gradeⅡin relevance ratio,and 96.34%in early﹣detection rate. Conclusions There are screening basis in cervical cancer and it has obvious effect in the early screen﹣ing,diagonosis and treatment. The methods of pap smear of endocervical cells film﹣reading and concentrated film﹣reading is effec﹣tive among the mass screening model,which is worthy to application in the areas of lack of medical resource.%目的：通过农村妇女宫颈癌免费筛查的实践，提供评价数据，探讨群体免费筛查模式。方法2010～2011年和2012～2013年由增城市妇幼保健院组织辖区14所镇街卫生院和社区卫生服务中心分阶段对具有该市户口的35～<65岁农村妇女进行宫颈癌免费筛查，分别采用醋酸/碘染色（VIA/VILI）肉眼观察法和宫颈细胞巴氏涂片、集中阅片法进行筛查，阳性者进一步转阴道镜检查，并在阴道镜指示下进行活检，以病理诊断为“金标准”。结果2010～2011年采用VIA/VILI肉眼观察法完成的62255例35～<60岁农村妇女宫颈癌筛查，宫颈内上皮瘤变（CIN）Ⅱ级及以上病变检出率为0.14%，早诊率为77.78%；2012～2013年采取集中阅片宫颈细胞巴氏涂片法完成的23715例35～<65岁农村妇女宫颈筛查，CINⅡ级及以上病变检出率为0.35%，早诊率为96.34%。结论宫颈癌有筛查基础，筛查及早诊、早治效果明显。分阶段采取宫颈细胞巴氏涂片、集中阅片法是宫颈癌群体筛查模式中一项有效方法，可推广应用于医疗资源匮乏地区。
展开▼
