4505例宫颈病变临床分析

目的:探讨宫颈常见病变的发生情况。方法:回顾性分析4505例宫颈活体病检结果,分析不同年龄、时间宫颈常见病变的发生情况。结果:①4505例中,慢性炎症性病变4200例(93%)、宫颈化生性病变1642例(36%)、宫颈良性肿瘤30例、宫颈癌及癌前病变637例(14%)。②生育年龄妇女宫颈炎症性病变、化生性病变的发生率明显高于绝经后妇女(P均为0.000),宫颈癌前病变以25～35岁为发病高峰,宫颈癌以51～65岁为发病高峰。结论:慢性宫颈炎是宫颈最常见的病变,宫颈各种病变的构成比随着年龄增长、时间推移发生不同的变化,对育龄妇女开展宫颈疾病普查具有重要意义。

Clinical analysis on 4505 women with cervix lesion

Objective:To explore the clinical features of cervix lesions.Methods:The outcome of 4 505 cervix puncture samples from March,2003 to October 2004 was retrospectively analyzed.Results:①Out of the 4 505 cases,chronic cervicitis had the largest eases with a percentage of 95%(4 200 were chronic non-specific cervicitis,76 were condyloma acuminate),followed by cervix squamous metaplasia(36%),30 cases had benign neoplasms,while the rate of precancerous lesion and cervix cancer were 11% and 3% respectively.②The cervicifis and metaplasia were more frequently seen in productive women than menopause women.On the contrary,the prevalence of cervix cancer had an increasing trend among aged women.Conclusion:With the development of ages and years,great changes have taken place in the proportions of cervix lesions.It is very important of widespread examine for productive women.