宫颈原位癌90例临床分析

The Clinic Analysis of 90 Cases of Cervical Cancer in-Situ

目的探讨近期与5年前宫颈原位癌发病年龄的变化及其原因分析。方法收集本院1995年1月至1996年12月(A组)与2002年1月至2003年12月(B组)间住院经术后标本病理石蜡切片检查确诊的宫颈原位癌病例分别为41例与49例,共计90例。并就其发病年龄、生活环境、性生活行为等进行分析和统计学处理。结果B组较A组病人35岁前发病率明显增高(分别为44.9%和19.5%,P<0.02),而60岁以上发病率明显降低(分别为2.0%和12.2%,P<0.02)。结论宫颈原位癌的发病年龄有提前趋势,且与卫生习惯、环境、性生活行为等相关。

Objective:To explore the change of age of patients suffering cervical cancer in situ and to analyze the cause.Methods:Ninety cases of CIS confirmed by pathology examination of paraffin sections were reviewed.Among them 41 in group A as hospitalized from Jan.1995 to Dec.1996; while 49 in group B as hospitalized from Jan.2002 to Dec.2003.Analysis and statistics were conducted on the age of the patients, the environment and their sexual behavior.Results:The proportionate number of patients under 35 in group B was higher than that in group A(44.9% and 19.5%,P<0.02);the number of patients above 60 was notably lower(2.0% and 12.2%,P<0.02).Conclusion:This data show that the incidence of CIS tends to increase in the low age group, which may be related to hygienic habits, environment and their sexual behavior.