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目的:以社区(乡、村)为单位进行普查,掌握长春地区妇女生殖健康基本情况,建立社区(乡、村)妇女健康信息数据库。方法:采用统一制定的个人调查表和社区(乡、村)妇女生殖健康体检表,逐一建立普查对象档案,对632名已婚妇女进行生殖健康普查,进行常规妇科检查、利普液基细胞学检查(LPT)、妇科B超和乳房视诊、触诊、乳腺B超检查,必要时进行阴道镜检查和乳腺活组织检查。结果:在本次普查中未见宫颈癌和乳腺癌。宫颈液基细胞检查异常检出率为4.14%(22/531),其中不能明确意义的非典型鳞状细胞(ASC-US)占2.82%(15/531),低度鳞状上皮内病变(LSIL)占1.13%(6/531),高度鳞状上皮内病变(HSIL)占0.19%(1/531)。慢性宫颈炎症检出率为65.66%(415/632),其中宫颈糜烂占30.70%(194/632),宫颈息肉占3.48%(22/632),宫颈腺囊肿占13.77%(87/632),宫颈肥大占17.72%(112/632)。乳腺疾病的检出率为25.24%(129/511),其中乳腺增生占23.29%(119/511),乳腺纤维瘤占1.96%(10/511)。结论:利用现有资源宣传和普及妇女保健常识,定期实施普查,提高普查受检率和普查质量,建立妇女健康信息化管理,建立长效机制,做好妇科疾病的早期发现、早期诊断、早期治疗,以降低宫颈癌和乳腺癌的发病,提高妇女整体生存质量。
OBJECTIVE: To carry out census on the basis of community (township and village) units to grasp the basic situation of women’s reproductive health in Changchun and to establish a database on the health information of women in the communities (townships and villages). Methods: A unified questionnaire and reproductive health checklist of women in community (township and village) were used to establish the file of census objects one by one, to reproduce the health of 632 married women, to conduct routine gynecological examination, Examination (LPT), gynecological B-ultrasound and breast visual examination, palpation, breast B-ultrasound, if necessary colposcopy and breast biopsy. Results: No cervical cancer and breast cancer were seen in this census. The detection rate of cervical LCT was 4.14% (22/531), with ASC (unspecified ASC-US) accounting for 2.82% (15/531), low-grade squamous intraepithelial lesion LSIL accounted for 1.13% (6/531), and high grade squamous intraepithelial lesion (HSIL) accounted for 0.19% (1/531). The detection rate of chronic cervicitis was 65.66% (415/632), including 30.70% (194/632) of cervical erosion, 3.48% (22/632) of cervical polyps, 13.77% (87/632) of cervical adenocarcinoma, Cervical hypertrophy accounted for 17.72% (112/632). The detection rate of breast disease was 25.24% (129/511), of which 23.29% (119/511) had breast hyperplasia and 1.96% (10/511) had breast fibroids. Conclusion: The existing resources should be used to publicize and popularize the common sense of women’s health, carry out census on a regular basis, improve census screening rate and census quality, establish women’s health informatization management, establish long-term mechanism, do early detection and early diagnosis of gynecological diseases, Treatment to reduce the incidence of cervical cancer and breast cancer and improve women’s overall quality of life.