五峰宫颈癌高发区5929例妇女妇科疾病普查资料分析  

Analysis on the data of general investigation of gynecological diseases in 5 929 women in Wufeng county with high prevalence of cervical cancer

作　　者：贾瑶[1] 胡婷[1] 周航[1] 贾瑶[1] 张庆华[1] 杨茹[1] 陈枝岚[1] 李雄[1] 黄科程[1] 王少帅 唐方徐 黄传英 向群英 梅业东 胡美玲 来祖会[2] 汪辉[1] 王世宣[1] 马丁[1] 卢运萍[1] 李双 

机构地区：[1]华中科技大学同济医学院附属同济医院妇产科,(湖北武汉)430030 [2]湖北省五峰县妇幼保健院

出　　处：《中国妇幼保健》2012年第23期3627-3629,共3页Maternal and Child Health Care of China

基　　金：国家重点基础发展计划(973)资助项目〔2009CB521808〕;国家自然科学基金资助项目〔No.81101964;No.81172464〕;"重大新药创新"科技重大专项〔2009ZX09103-739〕

摘　　要：目的:了解五峰地区妇女妇科疾病患病情况。方法:对五峰地区适龄妇女行问卷调查、常规妇科检查以及宫颈刮片行巴氏染色,并应用醋染碘染结合阴道镜进行宫颈癌筛查,必要时行妇科B超检查。结果:2006～2008年共对5 929名妇女进行普查,常见妇科疾病总患病率约27.55%,宫颈炎、宫颈柱状上皮异位、阴道炎、生殖道异常的患病率分别为15.70%,7.27%,12.21%及0.79%。不同年龄组间宫颈炎,宫颈柱状上皮异位及阴道炎患病率有显著(P<0.05),≥50岁年龄组阴道炎患病率较高(13.68%),≤39岁组宫颈炎及宫颈柱状上皮异位患病率分别为20.28%及11.70%,高于其他年龄组(P<0.05)。结论:妇科炎症是危害经济欠发达地区的主要疾病之一,且不同年龄间存在差异,针对不同年龄组妇女针对性开展普查,对减少妇科疾病、提高妇女健康是十分重要的。Objective： To understand the prevalence of gynecological diseases in women in Wufeng county. Methods： The women of the right age in Wufeng county received questionnaire survey, routine gynecological examination, cervical scraping, and Papanicolaou staining; acetic acid staining, iodine staining combined with colposcopy were adopted for cervical cancer screening, gynecological ultrasonogra- phy was performed if necessary. Results ： From 2006 to 2008, a total of 5 929 women received general investigation, the total prevalence rate of common gynecological diseases was 27. 55%. The prevalence rates of cervical inflammatory diseases, cervical columnar ectopy, vaginitis, and genital tract abnormality were 5.70%, 12. 21% , 7.27%, and 0. 79%, respectively. There was statistically significant difference in the prevalence rates of cervical inflammatory diseases, cervical columnar ectopy, and vaginitis among the women in different age groups （ P 〈 0. 05）, the prevalence rate of vaginitis in ≥50 - year - old group was higher （ 13.68% ） . The prevalence rates of cervical inflammatory diseases and cervical columnar ectopy in ≤39 -year- old group were 20. 28% and 11.70%, respectively, which were statistically significantly higher than those in the other age groups （P 〈 0.05） . Conclusion： Gynecological diseases were the major diseases which were harmful in economic less - developed areas, and there was difference among women in different age groups ; general investigation should be performed targeting to women in different age groups, which are very important to reduce gynecological diseases and improve maternal health.

关 键 词：妇科疾病 宫颈癌 普查资料分析 

分 类 号：R173[医药卫生—妇幼卫生保健]