成都市妇女妇科常见病体检结果分析

目的了解成都市妇女妇科常见病的患病情况及其年龄分布特点。方法选取2011年12月-2012年11月自愿到四川大学华西医院健康管理中心进行体检妇女的妇科体检报告，就其各年龄段宫颈糜烂、宫颈／阴道细胞学异常、子宫肌瘤、子宫腺肌症、卵巢肿瘤患病情况予以分析。结果共纳入研究对象23389例，年龄20～96岁，宫颈糜烂总体检出率为20．98％，20～30岁年龄段妇女宫颈糜烂检出率最高，约为44．81％。宫颈细胞学总体的异常检出率为0．93％，41～50岁的妇女宫颈细胞学异常检出率最高，约为1．20％。子宫肌瘤、子宫腺肌症、卵巢肿瘤的总体检出率为11．12％、1．33％、3．60％，其中，41～50岁的妇女是子宫肌瘤、子宫腺肌症、卵巢肿瘤检出的高峰年龄，检出率分别为19．95％，2．46％，4．76％，各年龄段间同种疾病检出率差异有统计学意义（P〈0．05）。结论育龄期妇女妇科常见病的检出率较高。41～50岁的妇女是妇科常见病的高发人群。

Analysis on the Results of Gynecologic Examination of Women in Chengdu

Objective To explore the prevalence rate of gynecologic diseases and its character of age distribution of women in Chengdu, China. Methods We retrospectively analyzed gynecologic examination reports of women who underwent physical examination from December 2011 to November 2012. Results This study included 23 389 women; the overall detection rate of cervix erosion was 20.98%. The detection rate of cervix erosion of women aged from 20 （included） to 30 was 44.81%, ranking first. The overall rate of abnormal cervical cytology was 0.93%, and the rate of women aged 41 to 50 was 1.20%, ranking first. The overall detection rate of uterine myoma, uterine adenomyosis, and ovarian tumor was 11.12%, 1.33%, and 3.60%, respectively. Fourty-one to 50 was the peak age of uterine myoma, uterine adenomyosis, and ovarian tumor; the detection rate was 19.95%, 2.46%, and 4.76%, respectively. The difference was significant in different age （P 〈 0.05）. Conclusions The detection rate of gynecological common disease is high in childbearing aged women. Women aged 41-50 is the high-risk population of gynecological common disease.