广东省壮族聚居区宫颈癌病因调查

目的了解广东省壮族集中居住人群宫颈癌发病率及流行病学特征,为宫颈癌的防治提供依据。方法以当地壮族集中居住人群中年龄为20～65岁,有2年以上性生活史的妇女为调查对象。进行病史询问、妇科检查、阴道镜检查、宫颈口、宫颈管刮片细胞标本采集及苏木素染色法。结果从2004年9月至2005年10月共调查了9个乡镇共1876人,宫颈癌总患病率为0.21%。比全国发病率的0.015%高出0.195%,并向年轻化发展。结论广东壮族地区宫颈癌为高发区,患病原因可能与早婚、早育、多胎、居住的卫生条件恶劣、卫生知识缺乏等有关。为提高壮族地区人群健康水平,早干预、阻止病情发展、开展婚育知识教育及疾病健康知识教育尤为重要。

Etiology Investigtion of Cervical Cancer in the Centralized Population of Chuang in Guangdong

OBJECTIVE By understanding the incidence and epidemiological feature of cervical cancer in the centralized population of Chuang in Guangdong,in order to give evidence in the prevention and treatment of cervical cancer.METHOD The investigation objects are the local centralized population of Chuang female whose age range from 20 to 65 and having sexual activities for more than 2 years.History taking,gynecologic exam,colposcopy,pap test and hematoxylin staining method are done.RESULT From September 2004 to January 2005,1 876 people from 9 villages and towns have been investigated and the overall prevalence of cervical cancer was 0.21%.Compared to the national prevalence of 0.015%,it is 0.195% higher and has the trend in affecting younger people.CONCLUSION The region of Chuang in Guangdong is a high incidence region of cervical cancer,the etiologies of this disease may be related to early marriage,early reproduction,multiple gestation,poor living sanitation,lack of hygiene knowledge,etc.In order to promote the health level in the population of Chuang,early intervention,prevention of the progression of the disease,education of marital knowledge and the knowledge of the disease and health are important.