宫颈癌的流行情况调查与诊疗

目的用宫颈刮片方法对辖区8361人次宫颈癌普查普治,探讨宫颈癌流行及诊疗情况。方法对8361例妇科普查的妇女进行宫颈筛查。检查方法为宫颈刮片及阴道镜检查。对可疑者进行阴道镜下定位取活检及组织学病理检查。结果应查人数9528例,实查8361例,普查率87.75%;慢性宫颈炎5850例,发病率69.97%;宫颈癌18例,患病率215.29/10万;手术治疗14例,放化疗2例,普治率88.89%;3例原位癌术后均体健,手术治疗有效率100%;11例浸润癌Ⅰb-Ⅳb期手术及放、化疗,3年存活率27.27%;放、化疗后均出现程度不同的毒副作用,发生率100%;3例术后2年内出现并发症死亡,4例因期别晚,已失去手术时机,均在1年半内死亡,死亡率7.99/10万。结论慢性宫颈炎发病属首位;符合宫颈癌的发病年龄规律;宫颈刮片健康普查简便经济、可靠,适合农村妇女病普查;宫颈早期病变的治疗效果明显优于晚期;早期宫颈癌的治疗以手术治疗为主,辅以同步放疗、化疗,可以明显提高疗效。

Objective Useing method of cervical air-compressor jurisdiction 8361 person-time cerical cancer,discusses cerical cancer popular census them and diagnostic conditions.Methods 8361 cases in gynecology census women cervical screening.Inspection method for cervical and vaginal air-compressor endoscopy.For suspected thinkers vaginal microscopically positioning take biopsy and histological pathology.Results the number should be checked 9528 cases,the reality check 8361 example,census rate 87.75%;Chronic cervicitis 5850 cases,incidence of a disease 69.97%;Cerical cancer 18 cases,prevalence 215.29/10 million;Surgical treatment of 14 cases,radiation and chemotherapy in 2 cases,88.89% them rate,3 cases of carcinoma in situ all the body health,surgery efficient 100%;11 cases infiltrating carcinoma Ⅰb-Ⅳb period surgery and radiotherapy or and chemotherapy,3 year survival rate 27.27%;Radiotherapy or and chemotherapy after all appear different degree of toxicity,the occurence rate 100%;3 cases after two years of complications death,four patients with stage don＇t late,has lost the operation time,all in one and a half years died within,the mortality rate 7.99/100,000.Conclusion chronic cervicitis onset of first,Accord with cervical cancer onset ages rules;Cervical air-compressor health census is simple,reliable,and suitable for rural economic census gynecological diseases,The treatment of cervical early lesion is obviously superior to late,Early cerical cancer treatment with surgery is given priority to,complementary with synchronous radiation and chemotherapy,can significantly enhance the curative effect.