高原地区宫颈癌及癌前病变发病的临床特点分析  

The clinicai feature analysis of the incidence of cervical cancer and precancerous lesions in plateau region

作　　者：韩萍[1] 

机构地区：[1]青海省人民医院妇产科,青海西宁810007

出　　处：《中国妇幼保健》2008年第21期2950-2952,共3页Maternal and Child Health Care of China

摘　　要：目的:回顾性分析青海高原地区各族妇女宫颈癌及癌前病变的发病情况。方法:2000年以来,对高原地区40例宫颈癌及80例宫颈癌前病变患者进行临床分析发现,汉族妇女60例(20例宫颈癌,40例癌前病变),占50.0%;藏族妇女发病45例(15例宫颈癌,30例癌前病变),占37.5%;回族妇女发病9例(3例宫颈癌,6例癌前病变)占7.5%;蒙古族妇女发病6例(2例宫颈癌,4例癌前病变),占5.0%。结果:根据青海藏族人口占全省人口只有20.7%的比例来看,藏族妇女的发病率明显偏高。在这120例中,牧区和农村妇女发病90例,占75.0%;工人发病15例,占12.5%;干部15例,占12.5%。结论:这可能与居住在高海拔牧业地区、饮食习惯、卫生条件、婚前性行为、早婚、多产及家庭式分娩习惯、经济状况不好有关。如果改善以上状况,有可能降低少数民族妇女宫颈癌的发病率;同时对居住牧区的少数民族妇女进行定期的宫颈癌普查,使宫颈癌及癌前病变的患者,尤其是藏族妇女的患者能早期发现、早期诊断、早期治疗,这对降低藏族妇女宫颈癌死亡率,提高生活质量是很有效的做法。Objective： To retrospectively analyze disease incidence of cervical cancer and precancerous lesions about Qinghai plateau women ethnic groups. Methods： The clinicai analysis about 40 cases of cervical cancer and 80 cases of precancerous lesions. Since 2000, Han women who fall ill accounted for 60 cases, 50% （20 cases of cervical cancer, 40 cases of precancerous lesions） ; Tibetan women, 45 cases （15 cases of cervical cancer, 30 cases of precancerous lesions）, accounted for 37. 5% ; Muslim women 9 cases （three cases of cervical cancer, precancerous lesions 6 cases）, accounted for 7. 5% ; Mongolian women 6 cases （two cases of cervical cancer, 4 cases of precancerous lesions）, accounted for 5%. Results： The Qinghai Tibetan population accounted for only 20. 7% in the population ratio while the incidence of Tibetan women was apparently high. In these 120 cases, the incidence of rural women and pastoral women were 90 cases, 75% ; the incidence of workers were 15 cases, 12. 5% ; 15 cases of cadres, 12. 5%. Conclusion： This may be related about the high-elevation animal husbandry areas, eating habits, health conditions, premarital sex, early marriage, fertility and family labor practices, the bad economic situation. If the above conditions are improved, the incidence of minority women who have cervical cancer may reduced, such as doing regular cervical cancer census on minority women who live in the pastoral areas and early finding, early diagnosis and early treatment to the cervical cancer precancerous lesions patients, especially to these Tibetan women patients. This way is very effective for Tibetan women to reduce cervical cancer mortality and improve the quality of life.

关 键 词：高原发病率 藏族妇女 宫颈癌 宫颈癌前病变 

分 类 号：R737.33[医药卫生—肿瘤]