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目的:通过实施青海省重大公共卫生服务项目,开展农村妇女宫颈癌免费检查工作,了解湟源县农村妇女宫颈癌的发病情况,采取有效干预措施,降低宫颈癌的发生率。方法:2009年9月—2012年10月对全县(35~65)岁19 840例农村已婚育龄妇女进行生殖道感染干预,其中宫颈脱落细胞学检查19 840例,采用巴氏涂片和巴氏五级分类法报告,对巴氏ⅡB级以上者给予阴道镜检查和宫颈活检。结果:19 840例中巴氏ⅡB级以上者2 062例,发生率为10.39%。经病理证实宫颈癌8例,发生率为40.32/10万。结论:宫颈癌患病率在我县处于较高水平,加大宣传力度,广泛深入开展宫颈癌普查工作是降低宫颈癌患病率的关键。
Objective: Through the implementation of major public health service projects in Qinghai Province, we conducted a free inspection of cervical cancer among rural women and learned about the incidence of cervical cancer in rural women in Laiyuan County. We took effective interventions to reduce the incidence of cervical cancer. METHODS: From September 2009 to October 2012, a total of 19 840 rural married women of childbearing age who underwent reproductive tract infections in the county (35 to 65 years) were enrolled. Among them, 19,840 cases of cervical cytology were examined by cytology, Papan’s Five-Level Taxonomy reports colposcopy and cervical biopsy of patients with grade IIB or above. Results: There were 2 062 cases with 1940 cases of grade ⅡB or above, the incidence rate was 10.39%. Cervical cancer confirmed by pathology in 8 cases, the incidence was 40.32 / 100000. Conclusion: The prevalence of cervical cancer in our county at a high level, increase publicity efforts, extensive and in-depth cervical cancer screening work is to reduce the prevalence of cervical cancer the key.