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目的了解农村妇女的妇科常见病及多发病,探讨经阴道B超在农村妇女病普查中的重要价值。方法采用“中国初级卫生保健基金会健康扶贫工程组委会032妇女病普查普治项目”统一制定的妇女病普查表进行登记,对襄樊市樊城区四个乡镇的已婚妇女5700名进行了妇女病免费普查。常规妇检后,全部进行经阴道超声检查,并对经阴道B超检查结果进行统计分析。结果经阴道B超检查5700人,检出妇科病3193例,发病率为56.02%;其中,宫颈肥大、宫颈囊肿发病率占首位,发病率为46.84%,其次为子宫肌瘤,发病率为5.18%。结论妇女病定期普查对降低妇科常见病的发病率及早期发现妇科肿瘤有重要意义。经阴道超声检查具有安全无创,图像清晰,诊断快速准确,无需憋尿等候等优点,在大面积妇女病普查中有很高的实用价值。
Objective To understand the gynecological common diseases and frequently-occurring diseases among rural women and to explore the value of transvaginal ultrasound in the survey of women’s diseases in rural areas. Methods The questionnaire of women’s disease survey formulated by the “Project of General Program for the Prevention and Treatment of Women’s Diseases 032” of the Primary Health Care Foundation of China was enrolled, and 5,700 married women from 4 townships in Fancheng District of Xiangfan City were enrolled in the study. Free census. After routine gynecological examination, all the transvaginal ultrasound, and transvaginal B-ultrasound results were statistically analyzed. Results Vaginal ultrasound B examination of 5700 people, detected 3193 cases of gynecological diseases, the incidence was 56.02%; Among them, cervical hypertrophy, the highest incidence of cervical cysts, the incidence was 46.84%, followed by uterine fibroids, the incidence was 5.18 %. Conclusion The regular screening of women’s disease is of great importance in reducing the incidence of gynecological common diseases and early detection of gynecologic tumors. Transvaginal ultrasound is safe, noninvasive, clear images, rapid and accurate diagnosis, without waiting for urine and other advantages, in a large area of women’s disease screening has a high practical value.