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目的:了解嘉定地区已婚妇女妇科疾病患病现状及患有妇科重点疾病妇女的诊治情况,为改进妇科普查工作方法、制定妇科疾病防治措施提供依据。方法:按照上海市妇女保健所统一制定的妇科普查程序开展妇科普查,对普查发现的妇科重点疾病进行随访,对患病情况和随访结果进行回顾性分析。结果:2009年有44 705名已婚妇女参加妇科普查,普查率为85.45%,患病率为32.12%;妇科疾病前5位依次为子宫肌瘤16.47%、宫颈糜烂6.72%、卵巢囊肿3.77%、宫颈息肉3.29%、乳房肿块1.44%。对204名患妇科重点疾病妇女的电话随访结局为:64.22%妇女普查后及时就诊,19.12%妇女经劝说后就诊,3.92%妇女拒诊,12.75%妇女失访,确诊癌症4例。
Objective: To understand the prevalence of gynecological diseases and diagnosis and treatment of women with gynecological diseases in married women in Jiading area, and to provide basis for improving the methods of gynecological census and formulating preventive measures for gynecological diseases. Methods: The gynecological survey was conducted according to the uniform gynecological survey procedure established by the Shanghai Women’s Health Center. The gynecological key diseases found in the census were followed up. The prevalence and follow-up results were analyzed retrospectively. Results: 44,705 married women participated in the gynecological survey in 2009 with the rate of 85.45% and the prevalence rate of 32.12%. The top five gynecological diseases were uterine fibroids 16.47%, cervical erosion 6.72% and ovarian cysts 3.77% 3.29% of cervical polyps, 1.44% of breast lumps. The telephone follow-up of 204 women with gynecological diseases was: 64.22% of the women were treated immediately after the census, 19.12% of the women were persuaded to consult, 3.92% of the women were rejected, 12.75% of the women were lost and 4 of them were diagnosed with cancer.