广西柳州妇女宫颈疾病患病现状分析  

PREVALENCE RATE OF CERVICAL DISEASES IN 2450 WOMEN IN LIUZHOU AREA OF GUANGXI PROVINCE

作　　者：徐又先[1] 李立[1] 涂强[2] 杨岚[1] 陈广莉[1] 明芳[1] 陈静[1] 蒋燕明[1] 

机构地区：[1]广西医科大学第五附属医院妇科,柳州545001 [2]广西医科大学第五附属医院体检中心

出　　处：《现代预防医学》2010年第8期1447-1448,1453,共3页Modern Preventive Medicine

基　　金：广西壮族自治区卫生厅计划课题项目(Z2008412)

摘　　要：[目的]通过对本地区健康人群进行宫颈疾病的病因、发病情况的调查,了解本地区宫颈病变的发病特点,寻找早期预防宫颈癌的方法。[方法]采用问卷法,对受检妇女的一般情况进行调查,妇科检查,宫颈病变病理分型,并对宫颈癌的高危因素进行分析。[结果]2450名受检妇女中人乳头瘤病毒(HPV)感染率为20.31%,宫颈异常细胞学中HPV的检出率为76.54%,宫颈炎性病变占宫颈病变86.72%,宫颈良性肿瘤等病变占3.13%,宫颈上皮内瘤样病变(CIN)占7.01%,宫颈浸润癌占0.93%。相关因素分析显示HPV感染、多性伴侣、性传播疾病史是宫颈癌及癌前病变的高危因素。[结论]宫颈炎性病变在女性人群中普遍存在,必须加强对宫颈上皮细胞异常者这一高危人群的健康教育、随访和定期复查。[Objective] To investigate the pathogenesis and incidence of cervix disease so as to provide evidence for early diagnosis and prevention. [Methods] The questionnaire,gynecology physical examination and pathological types examination were undertaken to investigate the high risk factor of the general condition of cervical lesions and cervical carcinoma. [Results] Among 2450 Women,the HPV infectious rate was 20.31% ,the rate of the women of abnormal cervical intraepithelial was 76.54%,86.72% of them were inflammation diseases,3.13% of them were benign tumor,7.01% of them were cervical intraepithelial neoplasia （CIN）,and 0.93% of them was invasive carcinoma. The correlated factors for the precancerous change and cervix cancer were：HPV infection,excessive sex partners,and those with a history of sexually transmitted diseases. [Conclusion] Cervicitis was popular in women of Liuzhou,so we should strengthen the health education,follow-up and regular examination for women with abnormal cervical epithelial cell.

关 键 词：宫颈上皮内瘤样病变 乳头状瘤病毒 宫颈疾病 

分 类 号：R711.74[医药卫生—妇产科学]