深圳市龙城街道4 147例已婚妇女妇科普查结果分析

目的通过妇科普查,了解已婚妇女妇科常见病、多发病及其致病因素,为预防保健工作提供依据。方法选择2010-2012年在深圳市龙岗区龙城街道中心进行妇科普查的4 147例已婚妇女为研究对象,逐个进行询问病史、常规妇科检查、白带常规检查、宫颈刮片、红外线乳腺检查、腹部B超检查,对结果进行统计学分析。结果妇科疾病检出率为39.74%（1 648/4 147）,前三位为慢性宫颈炎（15.84%,657/4 147）、阴道炎（11.21%,465/4 147）和乳腺增生（8.15%,338/4 147）。其中,流动人口受检人群慢性宫颈炎、阴道炎发病率高于常住人口受检人群;30～39岁组受检者慢性宫颈炎发病率高于其他年龄段组;阴道炎好发于30～39岁组及≥40岁组妇女。〈30岁组与30～39岁组乳腺增生发病率高于≥40岁组;宫颈液基细胞学检出阳性病例189例,检出率为4.56%,70例鳞状上皮内病变细胞者集中在30～49岁年龄段（84.29%,59/70）。结论定期进行妇科普查和加强健康教育是疾病早期预防、早期发现、早期诊断、早期治疗,提高妇女健康水平的有效途径。

Analysis of the Outcomes of Gynecological Examination of 4 147 Married Women in Longcheng District of Shenzhen

Objective To analyze the gynecological common disease and its risk factors of 4 147 married women in Longcheng District of Shenzhen. To provide evidence for preventive health care in the region. Methods We studied 4 147 married women who underwent gynecological examination in Longcheng District of Shenzhen from 2010 to 2012 in our center, informed consent was obtained from all participants. Individual inquiry regarding medical history, routine gynecological examination, routine vaginal, cervical smears, infrared breast examination, abdominal Bultrasound were done. The outcomes were analyzed by SPSS 11.5. Results 1 648 women（39.74%, 1 648 / 4 147）were found with gynecological diseases and the first three diseases were cervicitis（15.84%, 657 / 4 147）, vaginitis（11.21%, 465 / 4 147） and hyperplasia of mammary glands（8.15%, 338 / 4 147）. The incidence rate of chronic cervicitis, vaginitis in countryside was higher than that in city, and the incidence rate of chronic cervicitis of 30～39years old group was higher than that of other age groups. And the incidence rate of vaginitis occurred more commonly in more than 30～39 years old group and ≥40-year-old group. The incidence of hyperplasia of mammary glands of 〈30 and 30～39 age group was higher than that of ≥40-year-old group. 70 cases of SIL（squamous intraepithelial lesion;high-grade squamous intraepithelial lesion） were concentrated in the 30～49 age group（59 / 70, 84.29%）. Conclusion Regular gynecopathy census and cervical cancer screening can promote disease early prevention, early detection,early diagnosis, and early treatment, thus improving the level of the women＇s health.