目的 了解吉林省农村妇女宫颈癌筛查结果，为相关部门制定政策提供依据。方法 选取2015—2020年吉林省9个市(州)和1个省管县开展农村妇女宫颈癌筛查项目县报告的季度统计表数据为研究资料，分析不同初筛方法的宫颈癌阳性率、阴道镜异常检出率、组织病理学异常检出率、宫颈癌前病变和癌检出率、宫颈癌早期诊断比例等指标。结果 共有1 354 457例次适龄农村妇女接受宫颈癌免费筛查，筛查率由2017年的14.81%逐年上升到2020年的29.60%,宫颈细胞学异常率为3.27%(39 570例次),人乳头瘤病毒阳性率为10.32%(8 849例次),阴道镜异常检出率为44.53%(31 273例次),组织病理学异常检出率为18.02%(2 587例次)。2015—2020年宫颈癌前病变检出率为172.84/10万，并由2015年的134.33/10万逐年上升至2020年的223.65/10万(P<0.001)。宫颈癌检出率为18.16/10万，由2015年的11.66/10万上升到2020年的24.94/10万(P<0.001)。宫颈癌早期诊断比例为93.16%,各年份间比较差异无统计学意义(P>0.05)。结论 2015—2020年吉林省适龄妇女宫颈癌前病变检出率和宫颈癌检出率均呈上升趋势。

Objective To investigate the result of cervical cancer screening program in Jilin Province so as to provide evidence for policy making. Methods Data were collected in the form of quarterly statistical tables reported by 9 cities and 1 county implementing the cervical cancer screening program from 2015 to 2020. The following indicators were analyzed: the positive rates of different screening methods, the abnormality rates of colposcopy and histopathology, the detection rate of precancerous lesions/cervical cancer, and the rate of early diagnosis. Results A total of 1 354 457 women aged 35-64 in rural areas received free cervical cancer screening. The screening rate increased gradually from 14.81% in 2017 to 29.60% in 2020. The rates of abnormal cytology, HPV positive, abnormal colposcopy and histopathology were 3.27%(39 570), 10.32%(8 849), 44.53%(31 273), and 18.02%(2 587) respectively. The average detection rate of cervical precancerous lesions from 2015-2020 was 172.84/100 000, and it increased from 134.33/100 000 in 2015 to 223.65/100 000 in 2020(P<0.001). The average detection rate of cervical cancer was 18.16/100 000, and it increased from 11.66/100 000 in 2015 to 24.94/100 000 in 2020(P<0.001). The average rate of early diagnosis of cervical cancer was 93.16%, and there was no statistical significant difference between years(P>0.05). ConclusionThe detection rate of the cervical precancerous lesions and cervical cancer is increasing in Jilin Province from 2015 to 2020.