摘要
目的 通过对北京市6302名体检妇女宫颈疾病的筛查，分析宫颈疾病、子宫颈癌前病变的患病状况。方法 采用问卷调查法，对受检妇女的一般情况、妇科体检结果、宫颈病变病理分型及宫颈癌的高危因素进行调查。结果 6302名受检妇女中城八区者5336人（84．7％），近郊、远郊区者和外地采京流动人员754人（占12、0％），城区不详者212人（占8、4％）。职业：职员2451人（占38．8％），工人1965人（占31．18％）。文化程度：高中2561人（占40．64％），大专以上2466人（占39．13％）。受检妇女宫颈炎患病率为45．30％，病理学检查宫颈上皮细胞异常率为2．95％。宫颈上皮细胞异常者人乳头瘤病毒（HPV）感染率为3，76％。上皮细胞异常者平均年龄低于无异常者（P〈0．05）。上皮细胞异常者经病理活检后证实尚无宫颈癌病变。结论 宫颈炎性病变在女性人群中普遍存在；受检妇女宫颈上皮细胞异常者中，以30～50岁者为多；宫颈上皮细胞异常者的平均年龄小于上皮细胞正常者。对宫颈上皮细胞异常者这一高危人群应加强健康教育、随访和定期复查。
Objective To screen for cervical disease of 6302 women in Beijing, including precancerous cervical disease and other cervical diseases of women to reduce their occurrence of cervical cancer and economic burden. Methods The questionnaire was undertaken, investigation of the high risk factor of the general condition, the result of gynecology physical examination, the pathological types of cervical lesions and cervical carcinioma. Results In total, 6302 women were screened, the rate of cervicitis was 45. 30%. The abnormal rate of cervical intraepithelial was 2. 95% , the HPV infectious rate of the women of abnormal cervical intraepithelial was 3.76% , the average age of the women with abnormal epithelial cell was lower than that of women with the normal epithelial cell （ P 〈0. 05）. There was no cervical carcinoma changes in the women of abnormal cervical intraepithelial by histopathology combining. Conclusion Cervicitis was popular in women of Beijing, so prevention of it should be enhanced. Women with abnormal cervical epithelial cells in screening were found mainly in 30 - 50 years old. The sample＇s average age of abnormal women were different from normal women. The women with abnormal cervical epithelial cells should be followed - up and health promotion should be provided to them.
出处
《中国全科医学》
CAS
CSCD
2007年第3期223-225,共3页
Chinese General Practice
关键词
宫颈病变
筛查
北京
Cervical disease
Screening
Beijing
