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目的了解山东省聊城市东昌府区农村妇女宫颈疾病变化情况,为宫颈癌的防治提供依据。方法对东昌府区自愿参与宫颈癌筛查的农村妇女进行妇科、阴道分泌物、宫颈脱落细胞检查,脱落细胞检查结果可疑或异常者行阴道镜检查,阴道镜检查结果可疑或异常者再进一步行组织病理学诊断。结果 2013年共完成东昌府区全区13 702名农村妇女的免费宫颈癌筛查,筛查对象年龄25~65岁,平均年龄48岁。总体异常率为40.99%(5 617/13 702),其中宫颈炎检出率最高,为21.23%(2 908/13 702),其次为细菌性阴道炎,检出率为12.26%(1679/13 702)。筛查对象中宫颈上皮细胞异常144例,异常率为1.05%,不同年龄组受检妇女宫颈上皮细胞异常率差异具有统计学意义(P<0.01)。144例宫颈上皮细胞异常者全部行阴道镜检查,检出病理组织学异常32例,宫颈癌检出率为0.02%(3/13 702)。结论山东省聊城市东昌府区农村妇女宫颈异常检出率较高,针对宫颈癌及癌前病变的筛查是预防和控制宫颈癌的主要手段。
Objective To understand the changes of cervical diseases in rural women in Dongchangfu District of Liaocheng City, Shandong Province, and to provide basis for the prevention and treatment of cervical cancer. Methods Gynecological and vaginal secretions, cervical exfoliated cells were detected in Dongchangfu District, a woman who voluntarily participated in cervical cancer screening. Colposcopy was performed on suspicious or abnormal exfoliated cells, colposcopy results were suspicious or abnormal Histopathological diagnosis. Results In 2013, a total of 13,702 rural women were screened for free cervical cancer in Dongchangfu district. The screening subjects were aged 25 to 65 years with a mean age of 48 years. The overall anomaly rate was 40.99% (5 617/13 702). The highest incidence of cervicitis was 21.23% (2 908/13 702), followed by bacterial vaginosis with a detection rate of 12.26% (1679/13) 702). There were 144 cases of abnormal cervical epithelial cells in the screening, the abnormal rate was 1.05%. The abnormal rate of cervical epithelial cells in different age groups was statistically significant (P <0.01). 144 patients with abnormal cervical epithelial cells underwent colposcopy, 32 cases of pathological abnormalities were detected, the detection rate of cervical cancer was 0.02% (3/13 702). Conclusion The detection rate of cervical abnormalities in rural women in Dongchangfu District, Liaocheng City, Shandong Province is high. Screening for cervical cancer and precancerous lesions is the main means to prevent and control cervical cancer.