欧文多CHU妇产医院子宫颈癌筛查活动结果分析

Sima Ole B
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摘要

简介:子宫颈癌是一种常见的癌症。它易于早期发现和治疗。目的是描述和分析观察到的病变及其管理,以降低加蓬女性癌症发病率和死亡率。方法:这是一项为期31天的描述性和分析性横断面研究,连续两年(2017年和2018年),共62天。所有接受子宫颈癌筛查咨询的妇女都被纳入研究。目视检查方法(VIA/IVIL)为程序方法,是否需要活检,并制定了管理方法。一个简单的描述性分析和结果表示为百分比和平均执行。结果:2017年的目标人群为629名女性(45.45%),2018年为755名女性(54.55%),增加了1384名女性,增加了9.10%。女性平均年龄为37.02±1.2岁[15-72岁]。25-39岁年龄段占比最高(51.5%),50岁以上占24.4%,单身占68.56%。IELG人数(4.77%)与IELHG人数(4.48%)相当。浸润性癌8例(0.58%),其中15 ~ 24岁3例。多学科会诊会议(MCM)后,所有癌前病变均立即得到治疗,8例癌均行手术治疗。结论:有组织的筛查和有效的资源利用降低了宫颈癌妇女的死亡率。关键词:宫颈癌筛查- via / vil -母亲死亡率;
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Analysis of The Results of Cervical Cancer Screening Campaigns at Owendo’s CHU Maternity Hospital
Introduction: cervical cancer is a common cancer. It is accessible for early detection and treatment. The aim was to describe and analyze the lesions observed and their management with a view to reducing the rate of female cancer morbidity and death in Gabon. Methodology: this was a 31-day descriptive and analytical cross-sectional study over two successive years (2017 and 2018), 62 days. All women who consulted for cervical cancer screening were enrolled. Visual inspection methods (VIA/IVIL) were the procedure method, a biopsy was indicated or not, and management was codified. A simple descriptive analysis and the results expressed as a percentage and on average were performed. Results: the target population was 629 women (45.45%) in 2017 and 755 (54.55%) in 2018, or 1,384 women and an increase of 9.10%. The average age of women was 37.02±1.2 years [15-72 years]. The 25-39 age groups were the most represented (51.5%), 24.4% were over 50 and 68.56% were single. There were as many IELG (4.77%) as there were IELHG (4.48%). Eight cases of invasive cancer (0.58%) were found including 3 cases in the 15-24 age. All precancerous lesions were immediately treated and all 8 cancers were surgically treated after Multidisciplinary Consultation Meeting (MCM) Conclusion: organized screening and efficient use of resources reduce the mortality of women from cervical cancer. Key words: cervical cancer-screening-VIA/VIL-mother mortality.
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