四川省宫颈癌高发地区农村妇女宫颈癌普查结果分析

Analysis on results of cervical carcinoma screening among rural women in high risk areas of Sichuan

目的:通过对9个县(市、区)开展农村妇女宫颈癌普查项目,了解农村妇女宫颈癌的发病情况,及时发现和治疗疾病,制定有效预防措施,促进妇女健康,减少妇女因宫颈癌引起的死亡。方法:2009年9～12月,对9个县(市、区)的107140例35～59岁有性生活的农村妇女进行宫颈癌检查,并对结果进行统计分析。结果:107140例中患各种妇科疾病者52221例,48.741%。其中生殖道感染45108例、42.100%,其它良性疾病5948例、5.552%,癌前病变582例、0.54%,浸润癌38例、0.035%,原位癌5例、0.005%,患病率高于全国平均水平。结论:经济欠发达的地区,生殖道感染和癌症患病率较高。因此加大卫生投入、普及相关知识,防止生殖道感染和及早发现癌前病变与早期癌症应成为四川省妇女保健工作的重要内容。

Objective：To understand the prevalence of cervical carcinoma among rural women,find and treat the disease timely,make effective preventive measures,promote maternal health care,reduce maternal death due to cervical carcinoma by conducting cervical carcinoma screening among rural women in nine counties（cities,districts） in Sichuan.Methods：From September to December in 2009,107 140 rural women aged 35～59 years old with sexual life in nine counties（cities,districts） received cervical carcinoma screening,then the results were analyzed.Results：Among 107 140 rural women,52 221 women were diagnosed as different kinds of gynecological diseases（48.741%）,including 45 108 women with reproductive tract infection（42.100%）,5 948 women with other benign diseases（5.552%）,582 women with precancerous lesion（0.54%）,38 women with invasive carcinoma（0.035%）,5 women with carcinoma in situ（0.005%）,the incidence was higher than the national average level.Conclusion：The incidences of reproductive tract infection and cervical carcinoma in poverty areas are high;improving health investment,popularizing related knowledge,preventing reproductive tract infection and finding early precancerous lesion and early cervical carcinoma should be incorporated in maternal health care in Sichuan.