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目的通过妇科普查了解广州市已婚妇女宫颈疾病发病情况,做好宫颈疾病防治工作。方法回顾性分析2010年9月-2011年8月间广州市8144例已婚妇女妇科宫颈疾病普查的资料。结果已婚妇女宫颈疾病普查8144例,其中患宫颈疾病者2909例,患病率35.71%;其中宫颈炎2702例,占92.88%;宫颈脱落细胞学异常185例,占6.36%;HPV阳性5例,阴性64例,占0.17%。对比传统宫颈涂片与Thinprep液基细胞学技术对宫颈细胞学异常检出率,P<0.001,差异有显著性。比较临床医生肉眼观察与病理学诊断的吻合情况,K=0.015,P<0.001,说明两种诊断方法的吻合度有统计学意义且吻合度较弱。结论宫颈疾病发病率高,开展宫颈疾病普查有助于妇科宫颈疾病尤其是宫颈癌癌前病变的早发现、早诊断、早治疗,对宫颈癌的预防有极其重要的意义。
Objective To understand the incidence of cervical diseases in married women in Guangzhou through gynecological census and do a good job in prevention and treatment of cervical diseases. Methods The data of 8144 married women’s gynecological cervical diseases survey in Guangzhou from September 2010 to August 2011 were retrospectively analyzed. Results There were 8144 cases of cervical diseases in married women, including 2909 cases with cervical diseases, the prevalence rate was 35.71%. Among them, 2702 cases were cervicitis, accounting for 92.88%; 185 cases were cervical exfoliative cytology, accounting for 6.36%; 5 cases were HPV positive , Negative in 64 cases, accounting for 0.17%. Contrast the traditional Pap smear and Thinprep liquid-based cytology detection of cervical cytology abnormalities, P <0.001, the difference was significant. Compared with the clinicopathological findings of pathological diagnosis by clinicians, K = 0.015, P <0.001, indicating that the coincidence of the two diagnostic methods was statistically significant and the degree of agreement was weak. Conclusion The incidence of cervical disease is high. To carry out general survey of cervical diseases is helpful for the early detection, early diagnosis and early treatment of gynecological cervical diseases, especially cervical precancerous lesions. It is extremely important for the prevention of cervical cancer.