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目的:分析铜鼓县妇女生殖道感染现状与子宫颈癌及其癌前病变检出率,为促进子宫颈癌筛查和妇女生殖道健康保健提供依据。方法:2008~2009年共有30~59岁的妇女4 010例入选为合格的研究对象,进行流行病学问卷后,以VIA/VILI为子宫颈癌初筛方法,同时检查生殖道感染和白带常规。用SPSS 16.0软件对数据进行统计学分析。结果:此人群中35~49岁妇女生殖道疾病检出率较高,占68.5%(2 736/3 992),其中生殖道感染检出率为44.5%(1 775/3 992);VIA+VILI初筛阳性率为12.3%(493/4 010),经病理确诊的子宫颈癌与癌前病变检出率为723.2/10万,95.0%(38/40)为子宫颈癌前病变。结论:30~59岁的妇女有47.3%患有生殖道疾病,其中35~49岁的妇女所占比例最大,是预防控制的主要对象;VIA+VILI初筛可筛选出大部分癌前病变。VIA+VILI初筛联合生殖道检查能有效地控制子宫颈癌及其生殖系统疾病。
Objective: To analyze the prevalence of genital tract infection and the detection rate of cervical cancer and precancerous lesions among women in Tonggu county, and to provide basis for promoting cervical cancer screening and women’s reproductive tract health care. Methods: A total of 4010 women aged 30-59 years from 2008 to 2009 were enrolled as eligible subjects. After conducting epidemiological questionnaires, VIA / VILI was used as a screening method for cervical cancer. At the same time, reproductive tract infections and vaginal discharge routine . Data were statistically analyzed using SPSS 16.0 software. Results: The detection rate of reproductive tract diseases was high in 35-49 years old women, accounting for 68.5% (2 736/3 992). The detection rate of genital tract infection was 44.5% (1775/3 992) The positive rate of VILI was 12.3% (493/4 010). The positive rate of cervical cancer and precancerous lesions confirmed by pathology was 723.2 / 100000, and 95.0% (38/40) were pre-cervical precancerous lesions. Conclusion: 47.3% of women aged 30-59 years have genital tract diseases. Among them, 35-49 years old women account for the largest proportion and are the main targets of prevention and control. VIA + VILI screening can screen most precancerous lesions. VIA + VILI screening combined with reproductive tract examination can effectively control cervical cancer and reproductive system diseases.