近7年某高校女教职工妇科病体检结果分析

目的了解高校女教职工妇科常见病的患病情况及特点，找出高发人群及相关影响因素，提出有针对性的妇科病预防与控制措施，为做好妇科病防治工作提供依据。方法收集2007年-2013年西南财经大学每年一次的女教职工妇科体检资料，并分类整理，对检查结果进行回顾性分析。根据妇科常规检查、宫颈脱落细胞学涂片检查（宫颈巴氏涂片）、盆腔超声检查和乳腺超声检查结果，重点分析排位前5位的妇科病检出情况及其与年龄的关系。结果近7年该校妇科病普查参检3303人，占该校女教职工7105人的46．49％；查出疾病或异常者2383例，检出率为72．03％。检出居前5位的妇科常见病为乳腺疾病、宫颈炎、子宫肌瘤、阴道炎、卵巢囊肿，检出率分别为31．34％，25．18％，17．23％，15．79％，6．67％。妇科病的检出率与年龄相关。30～49岁年龄段检出率高达68．94％。7年内，乳腺疾病呈增长趋势，宫颈炎、子宫肌瘤呈下降趋势（P〈0．05或声〈0．01）。结论该校女教职工妇科体检参检率低，妇科病患病率较高，乳腺疾病和生殖道炎症为主要妇科常见病。妇科病高发年龄在30～49岁，为重点防治人群。

Analysis on Physical Examination Result of Gynecologic Disease in Female Teachers and Staff Members of a Certain University During the Last Seven Years

Objective To have knowledge about the prevalence and characteristics of common gynecologic disea-ses in female teachers and staff members of universities, search out the high risk population and relevant influx encing factors and take appropriate measures to prevent and control gynecologic diseases so as to provide a ba-sis for gynecologic disease prevention. Method Data of annual gynecological examination for female teachers and staff members of southwestern university of finance and economics from 2007 to 2013 was collected and sorted out and the examination result was retrospectively analyzed. Detection of gynecologic diseases ranking in the top five and its relations to the age was emphasized in accordance with results of routine gynecological ex-amination, cervical exfoliated cytology smear examination （cervical pap smear）, pelvic ultrasound examination and breast ultrasound examination. Results 3 303 women had the mass screening for gynecologic diseases dur-ing the last seven years, accounted for 46.49% of 7 105 female teachers and staff members at this University; 2 383 cases detected had diseases and abnormalities with a detection rate of 72.03%. Gynecologic diseases with detection ranking in the top five were breast disease, cervicitis, uterine myoma, vaginitis and ovarian cyst with respective detection rate of al. 34%, 25.18%, 17.23%, 15. 790% and 6.67%. Detection rate of gynecologic diseases was related with the age, and that in the group aged 30 to 49 was as high as 68.94%. In the last sev-en years, breast disease showed an increasing tendency while cervicitis and uterine myoma showed a decreasing tendency （p〈0.05 or p〈0.01）. Conclusion Participation rate of gynecological examination in female teach-ers and staff members of this university is low, and prevalence rate of gynecologic diseases is relatively high. Breast disease and inflammation in reproductive tract are main common gynecologic diseases. Women in the group aged 30 to 49 with a high risk of gynecologic diseases shall have emphasized prevention and cure.