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目的:调查某地区已婚妇女宫颈上皮内瘤样病变(CIN)患病情况,为当地已婚妇女宫颈癌的防治工作提供科学依据。方法 :采用横断面调查方法,随机选取某地区4 900例25~65岁已婚妇女进行CIN相关实验室检测及流行病学调查。结果:TCT结果异常者占8.35%(409/4 900);阴道镜病理检查诊断为CIN者占4.73%(232/4 900),占TCT结果异常的56.72%(232/409),其中CINⅠ期占74.57%(173/232)、CINⅡ期占22.84%(53/232)、CINⅢ期占2.59%(6/232),早期宫颈鳞状上皮细胞癌发病率为0.04%(2/4 900)。该地区妇女存在被动吸烟史(49.86%,2 443/4 900)和较差卫生习惯(25.71%,1 260/4 900)等宫颈癌危险因素。结论:当地已婚妇女CIN患病率为4.73%,被动吸烟史及较差卫生习惯等宫颈癌危险因素发生率较高。
Objective: To investigate the prevalence of cervical intraepithelial neoplasia (CIN) in married women in a certain area and provide a scientific basis for the prevention and treatment of cervical cancer in married women in the local area. Methods: A total of 4 900 married women aged 25-65 years from a certain area were randomly selected to carry out CIN-related laboratory tests and epidemiological surveys using a cross-sectional survey. Results: The abnormal results of TCT accounted for 8.35% (409/4 900). The positive results of colposcopy were CIN (4.73%) (232/4 900), accounting for 56.72% (232/409) of abnormal TCT. Among them, Accounting for 74.57% (173/232). CINⅡ accounted for 22.84% (53/232), CINⅢ accounted for 2.59% (6/232), early cervical squamous cell carcinoma incidence was 0.04% (2/4 900). Women in the region have risk factors for cervical cancer such as passive smoking (49.86%, 2 443/4 900) and poor hygiene (25.71%, 1 260/4 900). Conclusion: The prevalence of CIN in locally married women was 4.73%, and the incidence of cervical cancer risk factors such as passive smoking history and poor hygiene habits were higher.