妇科疾病普查检出率与预防为先分析(附4824例报告)

Gynecological Diseases Census and the Detection Rate of Prevention-First Analysis

目的]探讨预防性妇科检查对妇科疾病预防、诊断、治疗的意义。[方法]选取2011年1月至2012年12月来我院进行妇科疾病常规普查的4824例女性，由相关的医务人员对其逐一问诊，统一填写特制表格，行乳腺和生殖泌尿道检查，对检查疑有恶变者，做进一步的病理组织学检查，对检查结果进行统计分析。[结果]4824例普查中检出妇科病人数2039例，占总人数的42.3%，位居前4名的主要有乳腺小叶增生、慢性宫颈炎、阴道炎和子宫肌瘤疾病。其他妇科疾病发病率小，主要以附件包块、盆腔积液等为主。其中乳腺小叶增生、慢性宫颈炎、阴道炎的发病与年龄有关，乳腺小叶增生好发于22~40岁，慢性宫颈炎与阴道炎好发于22～30岁，会随年龄的增长而下降。子宫肌瘤在22～30岁患病率最低，但随年龄的增长而上升，在绝经后下降，降至2.84%甚至更低。[结论]预防性妇科疾病检查，在临床上着重强调以预防为主，从普查中做到早发现、早诊断，才能得做到早治疗，这是防治各种妇科疾病和乳腺疾病的重要任务，也是妇女卫生保健的重要手段。

[Objective]To investigate the preventive gynecological examination, prevention of gynecological diseases diagnosis, treatment, and explore effec-tive prevention measures. [Methods]4824 women selected from 2011 January to 2012 December in our hospital have routine screening, the relevant medi-cal personnel make one by one inquiry, fil in the form of unified formulation, make breast and genitourinary tract examination, malignant examination, further pathological organization examination, carry the statistical analysis to check results. [Results] The detection of gynecological patients 2039 in the 4824 census, 42.3% of the total, have lobular hyperplasia, breast chronic cervicitis, vaginitis and myoma of uterus disease among the top four. The inci-dence of disease of other department of gynaecology rate is smal , mainly in the adnexal masses, pelvic effusion. The breast lobular hyperplasia, chronic cer-vicitis, vaginitis disease are associated with age, often at 22~30 years old, decrease with age. Uterine fibroids in 22~30 years old have the lowest rate, but increase with the growth of the age, down to 2.84% or even lower in postmenopausal women. [Conclusion] To check the preventive gynecological dis-eases, clinical emphasis on prevention, from the census to achieve early discovery, early diagnosis, early treatment are an important task of prevention and treatment of various gynecological diseases and breast diseases, but also an important means of health care for women.