妇科体检结果分析及对宫颈癌的认知状况调查分析

Analysis of gynecological physical examination results and investigation of cognition status of cervical cancer

目的调查并分析妇科体检结果及对宫颈癌的认知状况。方法选取628例妇科体检者,所有妇科体检者均给予常规妇科检查和宫颈癌筛查,如有需要给予液基薄层细胞学检查(TCT)和阴道镜下病理组织活检,并分析检查结果。结果628例妇科体检者,全部均患有程度不一的妇科炎症,其中22-29岁128例,30-39岁274例,40-49岁206例,50-62岁20例,以30-39岁阶段患病人数最多,这一年龄段是妇科疾病的高发风险期。同时,经液基薄层细胞学检查和阴道镜下病理活检发现23例宫颈癌前病变,宫颈上皮内瘤变(CIN)Ⅰ级15例,CIN Ⅱ级8例。研究生及以上、高中及大学学历段的体检者对宫颈癌及相关知识的知晓率显著高于小学及初中学历段的体检者。已婚和离婚丧偶者对宫颈癌及筛查知晓率明显高于未婚者。结论30-39岁年龄段女性是宫颈癌等妇科疾病的高发群体,且文化程度、婚育状态均为影响女性对宫颈癌及相关筛查认知水平的重要因素,此外还应积极加强未婚女性对相关知识的认知宣教。

Objective To investigate and analyze the results of gynecological physical examination and the cognition status of cervical cancer.Methods 628 cases of gynecological physical examination were selected.All gynecological physical examination subjects were given routine gynecological examination and cervical cancer screening.If necessary,liquid base thin layer cytological examination(TCT)and colposcopic pathological biopsy were given,and the results were analyzed.Results Among 628 gynecological physical examination subjects,all of them suffered from gynecological inflammation of varying degrees,among which 128 cases were 22〜29 years old,274 cases were 30〜39 years old,206 cases were 40~49 years old,and 20 cases were 50〜62 years old.The number of patients in 30~39 years old was the most,which is the high risk period of gynecological diseases.At the same time,23 cases of cervical precancerous lesions,15 cases of cervical intraepithelial neoplasia(CIN Ⅰ)and 8 cases of CIN Ⅱ were found by liquid based thin layer cytology and colposcopic pathological biopsy.The knowledge rate of cervical cancer and related knowledge was significantly higher among those with postgraduate education or above,high school education or university education than those with primary school education or junior high school education.The rate of awareness of cervical cancer and screening was significantly higher in married and divorced persons than in unmarried persons.Conclusion Women in the age group of 30〜39 years old are the most common group of gynecological diseases such as cervical cancer,and the education level and marital status are the important factors affecting women's cognition level of cervical cancer and related screening.In addition,the cognition education of unmarried women should be actively strengthened.