广州市已婚妇女宫颈疾病普查结果分析

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。

The married women of Guangzhou in cervical disease analysis of census results

Objective To by gynecological census Guangzhou married women with cervical disease,cervical disease prevention work to do.Methods A retrospective analysis of 2010 September to 2011 August in Guangzhou city in 8144 cases of married women gynecological cervical disease census data.Results 8144 cases of cervical diseases among married women,which suffer from the cervical diseases 2909 cases,prevalence rate is 35.71%;2702 cases of cervicitis,accounted for 92.88%;cervical cytological abnormalities in 185 cases,accounting for 6.36%;HPV positive 5 cases,64 cases were negative,accounting for0.17%.In contrast to conventional cervical smears and Thinprep liquid-based cytology for cervical cytological abnormalities detectable rate,P <0.001,there were significant differences.Comparison of clinician macroscopic observation and pathological diagnosis of anastomosis,K=0.015,P <0.001,two diagnosis methods of anastomosis were statistically significant and consistent weaker.Conclusion The high incidence of cervical disease,cervical disease screening help gynecological cervical disease especially cervical precancerous lesions of the early discovery,early diagnosis,early treatment,on cervical cancer prevention is very important.