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目的了解济源市农村妇女宫颈癌发病情况,做到:早期发现、早期诊断、早期治疗。方法 2013年4~6月对济源市20000例35~64岁农村妇女进行宫颈癌筛查。初筛妇科双合诊检查,宫颈刮片发现宫颈细胞学异常的再进行阴道镜检查,必要时在阴道镜定位下做组织活检。结果共筛查出各种生殖道感染的有4823人,妇科良性肿瘤有622人,病理检查异常CIN1~CIN3的有220人,原位腺癌AIS有18人,微小浸润癌4人,浸润癌5人,各种妇科疾病中生殖道感染患病率最高位24.1%,各种妇科良性肿瘤占3.11%,宫颈癌前病变占1.1%,宫颈癌占0.14%。结论开展农村宫颈癌筛查,能够达到早期发现、早期诊断、早期治疗,最大限度的提高宫颈癌患者的生存率。
Objective To understand the incidence of cervical cancer in rural women in Jiyuan City, so as to achieve: early detection, early diagnosis and early treatment. Methods From April to June 2013, 20 000 rural women aged 35-64 in Jiyuan City were screened for cervical cancer. Gynecological gynecological double checkup screening, cervical smear cervical cytology abnormal colposcopy again, if necessary, colposcopic biopsy. Results A total of 4823 cases of genital tract infections were detected, 622 cases of benign gynecologic tumors, 220 cases of pathological abnormalities CIN1 ~ CIN3, 18 cases of adenocarcinoma in situ AIS, 4 cases of microinvasive carcinoma, 5, a variety of gynecological diseases, the highest prevalence of genital tract infection 24.1%, a variety of gynecological benign tumors accounted for 3.11%, 1.1% of cervical precancerous lesions, cervical cancer accounted for 0.14%. Conclusion The screening of cervical cancer in rural areas can achieve early detection, early diagnosis, early treatment, and maximize the survival rate of cervical cancer patients.