Mierzwa Tomasz, Grabiec Marek, Walentowicz Małgorzata
Zakład Profilaktyki i Promocji Zdrowia Centrum Onkologii w Bydgoszczy.
Ginekol Pol. 2005 Sep;76(9):693-8.
Kujawsko-pomorskie province is a region with high morbidity and death-rate from uterine cervix cancer. One of the methods of improve this situation is to perform prophylactic physical examinations to find the least advanced stages as possible.
The aim of the study was to estimate the results of prophylactic physical examinations for cervical cancer that took place in Center of Oncology in Bydgoszcz between 2001-2003.
Pap Smear with prophylactic examination for breast cancer were taken in 3 medical centers. First on, according to called "mobile", was localized in the health service center, second one in the bus with the mammography, reaching distant areas and third one was performing examinations locally. Cytologic examinations were rated Bethesda system and according to Papanicolau. There were 28372 women examined (age 30-60). 8996 medical examinations were performed by "mobile" device, 6726 in the second center and 12650 locally. 8237 examinations were performed in 2001 year, 9444 in 2002, and 10691 in 2003.
Among all the Pap Smears the results were as following: I group--14267, II group--14017, III group--73, IV group--13, V group--2.43 (0.15%)intraepithelial dysplasia was found in them CIN I--23 (0.08%), CIN II--10 (0.035%), CIN III--10 (0.35%).21 (0.1%) cervical cancers were detected, 12 of them were praeinvasive cancers. 0.31% of the all Pap Smears were abnormal.
(1) The number of abnormal Pap Smears and severe dysplastic lesions proves the usefulness of the prophylactic physical examinations. (2) The above programme shows the that the access to oncological care for women living in rural areas, has a social aspect and should have affect the health awareness of the potential patients.
库亚维-滨海省是子宫颈癌发病率和死亡率较高的地区。改善这种情况的方法之一是进行预防性体格检查，以尽可能发现最早期阶段的疾病。
本研究的目的是评估2001年至2003年期间在比得哥什肿瘤中心进行的子宫颈癌预防性体格检查的结果。
在3个医疗中心进行了巴氏涂片检查及乳腺癌预防性检查。第一个是所谓的“流动”中心，设在健康服务中心；第二个在配备乳腺摄影设备的巴士上，前往偏远地区；第三个在当地进行检查。细胞学检查按照贝塞斯达系统和帕帕尼科拉乌方法进行评级。共有28372名女性接受检查（年龄30至60岁）。通过“流动”设备进行了8996次医学检查，在第二个中心进行了6726次，在当地进行了12650次。2001年进行了8237次检查，2002年进行了9444次，2003年进行了10691次。
在所有巴氏涂片中，结果如下：I组——14267例，II组——14017例，III组——73例，IV组——13例，V组——2.43例（0.15%），其中发现上皮内发育异常CIN I——23例（0.08%），CIN II——10例（0.035%），CIN III——10例（0.35%）。检测到21例（0.1%）子宫颈癌，其中12例为原位癌。所有巴氏涂片中0.31%异常。
（1）巴氏涂片异常和严重发育异常病变的数量证明了预防性体格检查的有效性。（2）上述项目表明，农村地区女性获得肿瘤护理具有社会层面意义，且应影响潜在患者的健康意识。
