流动人口密集地区宫颈上皮内瘤变现状及瘤变年轻化趋势分析

目的:了解流动人口密集地区女性宫颈瘤变的现状及瘤变年轻化趋势。方法:对妇科门诊近两年来通过宫颈癌筛查或肉眼观察发现疑似宫颈瘤变需要做活检的患者进行基本资料初步登记,再通过查阅门诊手术同意书及电子病历逐一登记病理活检结果等相关资料。结果:142例调查对象总瘤变(癌变)61例占42.9%,其中:CINⅠ25例(17.6%),CINⅡ11例(7.8%)CINⅢ及原位癌10例(7.0%),宫颈原位癌累腺8例(5.6%),宫颈浸润癌7例(4.9%);宫颈瘤变各阶段平均发病年龄分别为:CIN(Ⅰ、Ⅱ)组33.5岁,原位癌组(CINⅢ)组34.8岁,浸润癌组42.3岁,各年龄段最小发病年龄分别为:CIN组22岁,原位癌组23岁,浸润癌组37岁。结论:流动人口密集地区女性宫颈上皮内瘤(癌)变发病早、发病率高,宫颈瘤(癌)变年轻化趋势明显。

The status and younger trends analysis of temporary residence in densely populated areas of cervical intraepi-thelial neoplasia

Objective To know temporary residence in densely populated areas to understand women＇s status and cervical neoplasia younger trend neoplasia. Method Gynecological clinic in nearly two years, or through visual observation of cervical cancer screening suspected cervical neoplasia in patients with biopsy needed to be done preliminary registration basic information, and then through access to outpatient surgery consents and registration of electronic medical records one by one biopsy results and other relevant information. Results 142 cases surveyed total neoplasia （cancer） 61 cases accounted for 42.9% ,of which：CIN Ⅰ 25 Cases （ 17.6% ） ,CIN Ⅱ 11 Cascs （7.8%） CIN Ⅲ and carcinoma in situ of 10 cases （7.0%） ,cervical carcinoma in situ tired gland 8 patients （5.6%） ,seven cases of invasive cervital cancer （4. 9% ） ;various stages of cervical neoplasia average age of onset were： CIN （ Ⅰ , Ⅱ） group 33.5 years, carcinoma in situ group （CIN Ⅲ ） group 34. 8 years,invasive group 42. 3 years old ,the minimum age of all ages were：CIN group,22 yeats old, DCIS group of 23 years old ,invasive group 37 years old. Conclusion Temporary residence in densely populated areas women cervical intraepithelial neoplasia （caneer） changes early onset,high incidence of cervical neoplasia （cancer） becomes younger evident.