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目的了解不同时期梅州市宫颈癌的就医状况。方法对本院1985年1月至2004年12月收治的610例宫颈癌住院病例进行回顾性分析。结果前、后10年比较,后10年收治病例明显增加,年均递增34.2%；两组诊断时平均年龄为59.1岁和48.1岁,后10年年轻11.0岁(P＜0.01)；两组患者均以农民为主,分别占87.0%和89.2%,职业分布无显著性差异；病理组织学类型无显著性差异；前10年组以晚期病人为主(占65.1%),Ⅰ期病人仅占0.8%,后10年组晚期病人减少(占51.2%),Ⅰ期病人增加(6.5%),两组比较有显著性差异(P＜0.01)。结论梅州市子宫颈癌发病呈上升趋势,患者年轻化趋势明显,应引起重视；加强生殖健康教育和妇女保健工作,有望达到早诊、早治,从而降低宫颈癌的发病率和死亡率。
Objective To understand the medical conditions of cervical cancer in Meizhou during different periods. Methods A retrospective analysis of 610 cases of cervical cancer admitted to our hospital from January 1985 to December 2004 were retrospectively analyzed. Results Before and after 10 years of treatment, the number of cases treated in the latter 10 years increased significantly with an average annual increase of 34.2%. The mean age at diagnosis was 59.1 years and 48.1 years, and the latter 10 years was 11.0 years (P <0.01) Were mainly peasants, accounting for 87.0% and 89.2% respectively. There was no significant difference in occupational distribution; there was no significant difference in histopathological types. In the first 10 years, patients were mainly late stage patients (65.1%), stage Ⅰ patients only 0.8% in the latter 10 years, while in the latter 10 years the patients in the late stage reduced (51.2%) and the stage Ⅰ patients (6.5%). There was a significant difference between the two groups (P <0.01). Conclusions The incidence of cervical cancer in Meizhou City is on an upward trend and the trend of younger patients is obvious. Therefore, it is necessary to pay more attention to them. It is expected that early diagnosis and early treatment will be achieved in strengthening reproductive health education and women ’s health care so as to reduce the incidence and mortality of cervical cancer.