五峰宫颈癌高发区5929例妇女妇科疾病普查资料分析

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。

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

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 ultrasonography 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.