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目的掌握荥阳地区已婚妇女宫颈病变的发病现状。方法采用横断面调查方法,于2009年1月至2012年12月对荥阳地区12个乡镇内随机抽取20~60岁已婚妇女21275例,进行基本情况调查,宫颈巴氏涂片检查,并对宫颈细胞学异常者行阴道镜检查及活检。结果①21 275例已婚育龄妇女宫颈巴氏涂片学检查结果显示:ASC-US为1.78%(378/21 275),ASC-H为0.54%(115/21 275),LSIL为0.88%(187/21 275),HSIL为0.23%(49/21275);②20~60岁已婚育龄妇女CIN的发生率为86.49/万,宫颈癌的发生率为1.88/万;③ASCUS的组织学阳性率为8.5%,ASC-H的组织学阳性率为17.4%,LSIL的组织学阳性率为41.7%,HSIL的组织学阳性率为78.9%。结论荥阳地区20~60岁已婚妇女CIN的发生率较低。宫颈细胞学检查可以早期提示宫颈病变的发生。应通过对已婚妇女的联合筛查及时发现宫颈病变,及时治疗,阻断宫颈癌的发生。
Objective To investigate the incidence of cervical lesions in married women in Shenyang area. Methods From January 2009 to December 2012, 21275 married women aged from 20 to 60 were randomly selected from 12 townships in the district of Shenyang City for investigation of the basic conditions and pap smear of cervical. Cervical abnormalities were colposcopy and biopsy. Results ① Pap smear examination of 275 275 pregnant women of childbearing age showed that ASC-US was 1.78% (378/21 275), ASC-H was 0.54% (115/21 275), LSIL was 0.88% (187 / 21 275), and HSIL was 0.23% (49/21275). The incidence of CIN in married women of childbearing age from 20 to 60 years old was 86.49 per thousand, and the incidence of cervical cancer was 1.88 per ten thousand. The positive rate of ASCUS was 8.5 %. The positive rate of ASC-H was 17.4%, the positive rate of LSIL was 41.7%, and the positive rate of HSIL was 78.9%. Conclusions The incidence of CIN in married women aged 20 ~ 60 in Shenyang area is low. Cervical cytology can prompt the early occurrence of cervical lesions. Should be through the joint screening of married women timely detection of cervical lesions, timely treatment, blocking the occurrence of cervical cancer.