江苏省已婚育龄妇女生殖道感染的病征处理和宫颈炎相关病理特征分析

The research on syndromic approach of reproductive tract infection and related pathology characteristic of cervical inflammation in Jiangsu province

目的 了解江苏省已婚育龄妇女生殖道感染(RTI)的发生情况并进行宫颈炎相关病理特征分析。方法 2 0 0 2年9月～10月,对江苏省5个不同地区的130 6 6名已婚育龄妇女进行妇科检查和各种RTI的实验室诊断检查,并详细地检测了宫颈炎有关的各种病理特征,进一步探讨宫颈炎不同病理特征间的相互关系。结果 江苏省已婚育龄妇女中,5 2 .72 %有一种以上生殖道感染。苏北地区各种RTI感染的检出率高于苏南地区(P <0 .0 0 1)。4 2 .81%已婚育龄妇女具有一种及以上的宫颈炎病理特征,且不同的病理特征之间的合并情况不同。苏北地区宫颈炎患者患阴道炎危险性增加。苏北和苏南的不同程度宫颈糜烂的构成差异有显著性(P <0 .0 0 1)。随着宫颈糜烂程度的加剧,宫颈刮片巴氏分级程度增高(P <0 .0 0 1)。结论 江苏省已婚育龄妇女RTI不容忽视。

Objective To investigate the situation of reproductive track infection (RTI) and to analyze the related pathology characteristic of cervical inflammation in Jiangsu province. Methods The survey was administrated among 13 066 eligible ever-married child-bearing women in Jiangsu province from September to October 2002. Gynaecologic examination and RTI laboratory diagnosis were performed for each subject and particularly registered related pathology characteristic on cervical inflammation. The relations of different pathology characteristics were deeply discussed for cervical inflammation. Results 52.72% of ever-married child-bearing women in Jiangsu province were infected with at least one kind of RTI. The infection rates of RTIs in the northern part were higher than that in the southern part ( P<0.001). The prevalence rates of cervical erosion,cervical polypi, cervical cyst and cervical mucous inflammation were higher in northern part than those in southern part (P<0.001). 42.81% of the women had more than one pathology related to cervical inflammation. Pathology characteristic were differently in existence each other. The cervical inflammation and colpitis was deeply related in the northern part. Statistically significant difference between the northern part and the southern part was found with regard to cervical erosion ( P<0.001). The cervical erosion was proportional to the papanicolaou grade (P<0.001). Conclusions The prevalence rates of RTIs were high in Jiangsu province. The research on the relationship among different cervical pathology would be contributed to clinical diagnoses and treatment.