墨西哥城一家诊断中心对全子宫切除患者的宫颈癌筛查
Cervical Cancer Screening in Patients with Total Hysterectomy in a Diagnostic Center at Mexico City.
作者信息
Ortiz-Mendoza Carlos Manuel
机构信息
Department of Surgical Oncology, Hospital General Tacuba, ISSSTE, Mexico City, Mexico.
出版信息
Int J Prev Med. 2022 Feb 23;13:29. doi: 10.4103/ijpvm.IJPVM_101_20. eCollection 2022.
BACKGROUND
The aim of this study was to outline the Pap smears rate done in women with total hysterectomy, sent to an urban diagnostic center that attends Mexican Government workers in the (ISSSTE: State´s Employees´ Social Security and Social Services Institute) at Mexico City.
METHODS
It was a retrospective study on Pap smear reports taken in 2017. The reports came from users of four family medicine clinics and a general hospital´s gynecology service. Demographic facts, instruments for collection, kind of insurance (ISSSTE-insurance or non-insurance), and total hysterectomy history were evaluated.
RESULTS
From 4989 reports, 600 (12%) had a total hysterectomy history. In the patients with ISSSTE-insurance, 586 of 4618 (12.68%) had a Pap smear whereas in the patients with non-insurance, only 14 of 371 (3.7%) had it, and this difference was significant ( < 0.00001; OR 3.7, 95% IC 2.15-6.36).
CONCLUSIONS
Although Pap smear is not indicated in women with total hysterectomy, this study is still carried out frequently.
背景
本研究的目的是概述在墨西哥城为墨西哥政府工作人员（墨西哥社会保障和社会服务局：国家雇员社会保障和社会服务研究所）提供服务的城市诊断中心，对接受全子宫切除术的女性进行巴氏涂片检查的比率。
方法
这是一项对2017年巴氏涂片检查报告的回顾性研究。报告来自四个家庭医学诊所的用户和一家综合医院的妇科服务。评估了人口统计学事实、采集工具、保险类型（墨西哥社会保障和社会服务局保险或非保险）以及全子宫切除术史。
结果
在4989份报告中，600份（12%）有全子宫切除术史。在有墨西哥社会保障和社会服务局保险的患者中，4618名患者中有586名（12.68%）进行了巴氏涂片检查，而在没有保险的患者中，371名患者中只有14名（3.7%）进行了检查，这种差异具有统计学意义（<0.00001；比值比3.7，95%置信区间2.15 - 6.36）。
结论
尽管全子宫切除术后的女性不需要进行巴氏涂片检查，但这项检查仍经常进行。
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