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目的:探讨妇女免费宫颈癌筛查结果,为加强宫颈癌防治效果提供依据。方法:在重庆市开州区2015年1月到2016年12月期间对33000名已婚妇女实施免费阴道检查、宫颈分泌物检查、阴道镜检查、盆前检查等,其中提取15000例对检查结果予以回顾性分析。结果:本组受检者共15000例,异常率是40.95%;其中,宫颈病变检出率是15.63%;阴道疾病检出率是15.31%;盆腔疾病发生率是3.83%;外阴疾病发生率是3.17%;阴道镜检查结果异常率是1.28%;宫颈癌前病变发生率是1.22%;宫颈癌发生率是0.06%。结论:宫颈癌筛查作为早期发现女性宫颈癌前病变、宫颈癌的主要手段,要求整合整个区域的医疗资源,建立全社会支持并参加的宫颈癌筛查机制,同时增强健康教育力度,促进妇女自觉参与宫颈癌筛查,从而降低宫颈癌发生率,改善妇女健康状态。
Objective: To explore the results of free cervical cancer screening in women and provide basis for strengthening the prevention and treatment of cervical cancer. Methods: Free vaginal examination, cervical secretions examination, colposcopy examination and pelvic examination were performed on 33,000 married women from January 2015 to December 2016 in Kaiyuan District, Chongqing. Among them, 15,000 cases were examined for the test results Be retrospectively analyzed. Results: The group of 15000 subjects, abnormal rate was 40.95%; Among them, the detection rate of cervical lesions was 15.63%; Vaginal disease detection rate was 15.31%; The incidence of pelvic disease was 3.83%; The incidence of vulvar disease was 3.17%; colposcopy abnormal rate was 1.28%; cervical precancerous lesions was 1.22%; cervical cancer incidence was 0.06%. Conclusion: Cervical cancer screening as the early detection of cervical precancerous lesions in women, the main means of cervical cancer, requires the integration of medical resources throughout the region, the establishment of a social support and participation of cervical cancer screening mechanism, while enhancing health education efforts to promote women Consciously involved in cervical cancer screening, thereby reducing the incidence of cervical cancer and improve women’s health status.