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目的调查分析广州市番禺区大石街适龄妇女宫颈病变流行状况,为防治宫颈癌提供依据。方法 2010年4—6月以自愿为原则,对广州市番禺区20~55岁有两年以上性生活史的妇女3 186名进行醋酸染色后肉眼观察(visualinspection with acetic acid,VIA)检查,发现可疑病变者,进行液基薄层细胞(TCT)检测、阴道镜检查,最终以病理活检确诊。结果接受VIA筛查妇女共3 186名,发现可疑病变者276例,最终由病理活检检出宫颈癌4例,宫颈上皮瘤样变(ceruical intraepithelid neoplas,CIN)125例,宫颈癌患病率为0.12%。结论当地宫颈癌及宫颈癌前病变患病率较高,可能与当地居民宫颈癌预防意识不足有关,应进一步加强宣传教育,推动宫颈癌预防干预措施,保护妇女生殖健康。
Objective To investigate and analyze the prevalence of cervical lesions among women of the same age in Dashi Street, Panyu District, Guangzhou City to provide the basis for the prevention and treatment of cervical cancer. Methods From March to June 2010, 3 186 women aged 20-55 years with more than two years of history in Panyu District of Guangzhou City were examined by visual inspection with acetic acid (VIA). From April to June 2010, Suspicious lesions, liquid-based thin-layer cells (TCT) test, colposcopy, and finally confirmed by pathological biopsy. Results A total of 3 186 women were screened by VIA and 276 suspicious lesions were detected. Four cases of cervical cancer, 125 cases of cervical intraepithelial neoplas (CIN) were detected by pathological biopsy. The prevalence of cervical cancer was 0.12%. Conclusions The prevalence of cervical cancer and precancerous lesions in the local area may be related to the lack of prevention awareness of cervical cancer among local residents. Publicity and education should be further promoted to promote cervical cancer prevention interventions and protect the reproductive health of women.