4505例宫颈病变临床分析

Clinical analysis on 4505 women with cervix lesion

目的:探讨宫颈常见病变的发生情况。方法:回顾性分析4505例宫颈活体病检结果,分析不同年龄、时间宫颈常见病变的发生情况。结果:①4505例中,慢性炎症性病变4200例(93%)、宫颈化生性病变1642例(36%)、宫颈良性肿瘤30例、宫颈癌及癌前病变637例(14%)。②生育年龄妇女宫颈炎症性病变、化生性病变的发生率明显高于绝经后妇女(P均为0.000),宫颈癌前病变以25～35岁为发病高峰,宫颈癌以51～65岁为发病高峰。结论:慢性宫颈炎是宫颈最常见的病变,宫颈各种病变的构成比随着年龄增长、时间推移发生不同的变化,对育龄妇女开展宫颈疾病普查具有重要意义。

Objective： To explore the clinical features of cervix lesions. Methods： The outcome of 4 505 cervix puncture samples from March, 2003 to October 2004 was retrospectively analyzed. Results： ①Out of the 4 505 cases, chronic cervicitis had the largest eases with a percentage of 95% （4 200 were chronic non -specific cervicitis, 76 were condyloma acuminate）, followed by cervix squamous meta- plasia （36%）, 30 cases had benign neoplasms, while the rate of precancerous lesion and cervix cancer were 11% and 3% respectively. ② The cervicifis and metaplasia were more frequently seen in productive women than menopause women. On the contrary, the prevalence of cervix cancer had an increasing trend among aged women. Conclusion： With the development of ages and years, great changes have taken place in the proportions of cervix lesions. It is very important of widespread examine for productive women.