广西罗城仫佬族自治县已婚妇女疾病普查分析

Survey of incidence of diseases among married women in Luocheng Mulam Ethnic County

目的 探讨罗城县已婚妇女妇科常见病、多发病的主要病种、顺位、发病情况及相关因素。方法按照中国初保基金会统一制定的妇女病普查方案对罗城县11个乡镇农村、镇直和县直单位的已婚妇女进行普查并对普查结果进行分析。结果全县应检人数28800例，实际检查14857例，普查率为51．59％，检出疾病7767人，患病率为52．28％。妇女常见病患病率前五位分别是慢性宫颈炎（36．18％）、阴道炎（15．75％）、乳腺增生（4．75％）、子宫肌瘤（4．24％）和卵巢肿瘤（3．63％）。确诊宫颈癌前病变9例，宫颈癌1例。主要妇女病高发年龄：慢性宫颈炎为30～50岁，阴道炎为20～60岁，乳腺增生为20—30岁，子宫肌瘤为40～60岁，卵巢肿瘤为20～60岁。结论妇女病普查普治有利于早发现、早诊断、早治疗妇女病，对降低妇女病特别是恶性肿瘤患病率，保障妇女的生命健康有着重要意义。

Objectives To survey the categories,proportional rankings and risk factors of common and frequently occurring gynecologic diseases in married women living in Luocheng. Methods Survey was carried out in married women in 11 villages or sectors townships or counties and data collected was analyzed based on the standard operational procedures （SOPs） developed by the China Primary Care Foundation. Results A total of 14 857 out of 28 800 women living in this area were surveyed, with a coverage of 51.59%. And gynecologic diseases were detected in 7 767 women,with an incidence of 52.28%. The most common gynecologic diseases detected were chronic cervicitis （36.18%）, colpitis （ 15.75% ）, mammary gland hyperplasia（4.75%）,hysteromyoma（4.24% ）and ovarian cysts（3.63% ）. Nine cases with cervical precancerous lesions and 1 case of cervical cancer were confirmed. Chronic eervicitis mainly occurred to women aged 30-50 years,colpitis in those aged 0-60 years, mammary gland hyperplasia in those aged 20-30 years, hysteromyoma in those aged 40-60years and ovarian cysts in those aged 20-60 years. Conclusions Survey on gynecologic diseases is helpful for early detection, diagnosis, treatment of the patients and reducing the incidence of malignancy in women.