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目的:分析妇科体检在已婚妇女妇科疾病检出中的价值,总结体检筛查、疾病诊断经验。方法:2016~2017年,医院开展妇科体检1062例,开展基本的问诊、体格检查以及超声检查后,选择性开展血液检查、阴道分泌物检查、高危人乳头瘤病毒(HR-HPV)感染筛查、薄层液基细胞学(TCT)以及病理检查。结果:检出生殖系统感染25.80%,子宫肌瘤23.92%,痛经22.79%,月经紊乱11.86%,宫颈上皮内瘤病变9.79%。从年龄来看,从高到低主要疾病分别为痛经、生殖系统感染、子宫肌瘤、月经紊乱、宫颈上皮内瘤变,生殖系统感染有症状率32.5%(89/274),子宫肌瘤35.8%(91/254),宫颈上皮内瘤病变39.4%(41/104)。结论:妇科体检可筛查诊断绝大多数的已婚妇女妇科疾病,收集病例资料可用于统计分析,指导疾病的防治。
OBJECTIVE: To analyze the value of gynecological examination in the detection of gynecological diseases in married women and summarize the experience of physical examination screening and disease diagnosis. Methods: From 2016 to 2017, the hospital carried out 1062 gynecological examinations. After conducting basic interrogation, physical examinations and ultrasonography, we performed selective blood tests, vaginal discharge examinations, high-risk human papillomavirus (HR-HPV) screening screens Check, TLCT and pathological examination. Results: The detection of reproductive system infection was 25.80%, uterine fibroids 23.92%, dysmenorrhea 22.79%, menstrual disorders 11.86%, cervical intraepithelial neoplasia 9.79%. From the age, from high to low main diseases were dysmenorrhea, reproductive system infections, uterine fibroids, menstrual disorders, cervical intraepithelial neoplasia, reproductive system infection symptoms were 32.5% (89/274), uterine fibroids 35.8 % (91/254), cervical intraepithelial neoplasia (39.4%) (41/104). Conclusions: Gynecological examination can screen gynecological diseases of most married women and collect the case data for statistical analysis to guide the prevention and treatment of diseases.