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目的:探讨武义县农村妇女宫颈病变流行状况及相关因素。方法:对武义县2009-2011年45 310例符合条件的当地农村妇女进行宫颈癌筛查并回顾性分析。结果:筛查当地妇女45 310例,筛查率为72.43%;宫颈细胞学检查异常908例(2.004%);阴道镜下活检病理检查为宫颈病变及浸润癌547例(1.207%)。宫颈细胞学异常与年龄、文化程度有关(P<0.01),而与职业无关(P>0.05);宫颈病变患病率与年龄、文化程度、职业均有密切关系(P<0.01)。结论:宫颈病变及宫颈癌对农村妇女健康与生命构成了严重威胁,应进一步提高农村妇女文化素质,加强对居民的宣传和教育,使更多的妇女接受宫颈癌的筛查。
Objective: To investigate the prevalence and related factors of cervical lesions in rural women in Wuyi County. Methods: 45 310 eligible rural women in Wuyi County from 2009 to 2011 were screened for cervical cancer and analyzed retrospectively. Results: There were 45 310 local women screened, with a screening rate of 72.43%; 908 (2.004%) with abnormal cervical cytology; and 547 (1.207%) with cervical lesions and invasive carcinoma under colposcopy biopsy. Cervical cytology abnormalities were related with age and education (P <0.01), but not with occupations (P> 0.05). The prevalence of cervical lesions was closely related to age, education level and occupation (P <0.01). Conclusion: Cervical lesions and cervical cancer pose a serious threat to the health and life of rural women. We should further improve the cultural qualities of rural women and publicize and educate their residents so that more women will be screened for cervical cancer.