陕西省农村妇女宫颈病变的流行病学调查  

An investigation of cervical lesions among rural women in Shaanxi province

作　　者：于学文[1] 张欣文[1] 许静[1] 任永惠[1] 王懿[1] 杨文方[1] 王丽[1] 宋辉[1] 胡长江[1] 李芬[1] 

机构地区：[1]西安交通大学医学院第一附属医院妇幼保健中心,陕西西安710061

出　　处：《中国妇幼健康研究》2009年第6期638-640,共3页Chinese Journal of Woman and Child Health Research

基　　金：美国中华医学基金会（Prevention of Reproduction Track Infections）资助项目（06-841）致谢：感谢陕西省石泉县妇幼保健院在现场调查中给予的帮助.

摘　　要：目的确定陕西省陕南农村妇女宫颈柱状上皮异位、宫颈炎的发生情况以及相关影响因素。方法采用横断面调查方法，调查了陕西省石泉县834名20～65岁妇女的生育史，并进行妇科检查，收集宫颈脱落细胞并进行了巴氏涂片病理学检查及人乳头瘤病毒DNA检测。结果陕西省陕南农村妇女宫颈柱状上皮异位的发生率为41．60％，多次妊娠史、分娩史、患有阴道炎与宫颈柱状上皮异位的发生有关。宫颈巴氏Ⅱ级的发生率为14．41％，其中有宫颈柱状上皮异位者占47．79％。人乳头瘤病毒阳性率为12．00％（12／100）。结论陕西省陕南农村妇女人乳头瘤病毒的感染率较高，多次妊娠、分娩以及患有阴道炎与宫颈柱状上皮异位的发生有关，宫颈炎可发生在宫颈光滑的妇女。Objective To investigate prevalences of cervical columnar ectopy and cervicitis among rural women in Shaanxi province. Methods In a cross-sectional study, 834 rural women aged 20 - 65 years in Shiquan county, Shaanxi province were investigated for childbearing history and received gynecological examination. The cervical smears were conducted for eervical pathological analysis and human papilloma virus （HPV） DNA was detected. Results The incidence of cervical columnar ectopy among women in Shaanxi rural areas was 41.60%. The cervical columnar ectopy was associated with age, frequent histories of pregnancy and of delivery, and vaginitis of the woman. The incidence of cervical Pap smear Ⅱ was 14.41%, of which, cervical columnar ectopy accounted for 47.79%. The positive rate of HPV infection was 12.00% among the surveyed women. Conclusion HPV infection rate in the rural women is high. Frequent histories of pregnancy and delivery and vaginitis are associated with cervical columnar ectopy. Even eervicitis may occur in those women whose cervix is smooth.

关 键 词：宫颈柱状上皮异位 宫颈炎 人乳头瘤病毒 宫颈细胞学 

分 类 号：R711.74[医药卫生—妇产科学]