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目的:研究宫颈癌在本地区的发病状况及相关危险因素,以便积极预防。方法:对2010年1月至2013年12月我院所作宫颈液基细胞学(TCT)筛查及活检诊断为宫颈上皮内瘤变(CIN)Ⅲ及宫颈癌患者的资料进行分析,观察其发病趋势和年龄特征。将上述诊断为CINⅢ及宫颈癌的患者149例作为研究组,选取同期宫颈炎患者149例为对照组,通过比较研究宫颈癌患者一般情况及相关危险因素。结果:本资料4年CINⅢ及宫颈癌检出率分别为1.79%、0.93%、0.80%、0.70%。宫颈癌的相关危险因素是高危型HPV感染、初次性生活年龄<20岁、性生活年限在10年以上、外出务工年限>6年。结论:由于TCT筛查的普及,宫颈癌的检出率在本地区呈下降趋势。预防宫颈癌应提倡使用安全套,避免过早性生活,定期做好妇女病普查,加强对外出务工妇女的健康管理。
Objective: To study the incidence of cervical cancer in the region and related risk factors in order to actively prevent. Methods: The data of cervical cytology (TCT) screening and biopsy diagnosis of cervical intraepithelial neoplasia (CIN) Ⅲ and cervical cancer in our hospital from January 2010 to December 2013 were analyzed, and the incidence of cervical cancer was observed Trend and age characteristics. The diagnosis of CIN Ⅲ and cervical cancer patients 149 cases as the study group, select the same period of 149 cases of cervicitis patients as control group, by comparing the general situation of cervical cancer patients and related risk factors. Results: The data of CIN Ⅲ and cervical cancer in 4 years were 1.79%, 0.93%, 0.80% and 0.70% respectively. The related risk factors of cervical cancer are high-risk HPV infection. The age of first sexual life is less than 20 years, the sexual life is over 10 years, and the length of working life is longer than 6 years. Conclusion: Due to the popularity of TCT screening, the detection rate of cervical cancer in the region showed a downward trend. Cervical cancer prevention should promote the use of condoms, to avoid premature sex, regularly make a survey of women’s disease and strengthen the health management of women migrant workers.