Department of Pathology, University of Medicine Targu Mures, Targu Mures, Romania; Histopat-Invest Laboratory, Targu Mures, Romania.
Citos Laboratory, Iasi, Romania.
Int J Gynaecol Obstet. 2014 Feb;124(2):156-9. doi: 10.1016/j.ijgo.2013.07.030. Epub 2013 Oct 17.
To determine the prevalence of abnormal cervical smears in a previously unscreened and asymptomatic population in Romania and to compare the data with those from other countries in Europe.
In a retrospective study, data were reviewed from smears obtained from women in Romania who had been referred to the gynecologist between January 2006 and December 2011. The smears were collected through 3 regional opportunistic programs of cervical screening and were classified according to the Bethesda system.
During the study period, 50536 smear tests were carried out. Of these, 100 smears (0.2%) were unsatisfactory and excluded from the study. Among the remaining 50436 smears, 2965 patients (5.9%) had abnormal epithelial changes. Most of the abnormal smears were represented by atypical squamous cells of undetermined significance (2.6% of all smears). The data confirmed that there is a high prevalence of high-grade intraepithelial squamous-type lesions (0.9% of all smears) in Romania, and of abnormal smears in women younger than 25years of age (14.0% of all abnormal smears).
The data show that there is a high prevalence of epithelial abnormalities among cervical smears in Romania compared with other European countries that run a national screening program.
确定罗马尼亚一个未经筛查且无症状人群中异常宫颈涂片的流行率，并将数据与欧洲其他国家进行比较。
在一项回顾性研究中，对罗马尼亚于 2006 年 1 月至 2011 年 12 月期间转诊至妇科医生的妇女进行了涂片检查。这些涂片是通过 3 个区域性机会性宫颈癌筛查计划收集的，并根据巴氏系统进行了分类。
在研究期间，共进行了 50536 次涂片检查。其中，100 份涂片（0.2%）不满意，被排除在研究之外。在剩余的 50436 份涂片检查中，有 2965 例患者（5.9%）有异常上皮变化。大多数异常涂片是意义不明的非典型鳞状细胞（所有涂片的 2.6%）。数据证实罗马尼亚存在高级别上皮内鳞状型病变（所有涂片的 0.9%）和 25 岁以下妇女异常涂片（所有异常涂片的 14.0%）的高患病率。
与开展全国性筛查计划的其他欧洲国家相比，罗马尼亚的宫颈涂片上皮异常的流行率较高。
