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目的了解康县已婚妇女病的发病情况,为开展妇科病的防治提供依据。方法随机抽取康县13个乡镇农村20~65岁已婚妇女5787名进行妇科病普查。结果 5787名受检者中患妇科病总人数4779例,患病率82.58%。妇科常见病中宫颈炎发病为首位为3322例患病率为57.4%;其次为阴道炎2291例,患病率为39.58%;子宫肌瘤161例,患病率为2.78%,附件包块96例,患病率为1.65%;盆腔积液136例,患病率为2.35%;其他(外阴白斑、前庭大腺囊肿)6例,患病率0.034%;CINⅠ-Ⅱ11例,宫颈Ca前病变5例,宫颈癌7例。慢性宫颈炎、阴道炎的发病与年龄有关,20-30岁年龄段患病率高,分别为63.05%、34.73%,随着年龄增长(P<0.01)。子宫肌瘤20-30岁患病率0.68%,41-50岁患病率为5.13%。随着年龄增长而上升,但绝经后下降至1.58%(P<0.01)。结论生殖道感染是影响妇女健康的主要疾病,重视妇科病普查,系统规范治疗妇科常见病,对高发年龄段的妇女进行重点干预,是实现妇科疾病“三早”(早发现、早诊断、早治疗),从而降低“两个率”(患病率、死亡率)的关键,亦是妇女保健面临的重要任务。
Objective To understand the incidence of married women’s disease in Kangxian County and provide basis for the prevention and treatment of gynecological diseases. Methods 5787 married women aged from 20 to 65 in 13 villages and towns in Kangxian County were randomly selected for gynecological survey. Results 5787 subjects in the total number of 4779 cases of gynecological diseases, the prevalence rate of 82.58%. The prevalence of cervicitis in gynecological diseases was the highest among 3322 cases, accounting for 57.4%; followed by 2291 cases of vaginitis, the prevalence was 39.58%; 161 cases of uterine fibroids, the prevalence was 2.78%, annex mass 96 Cases, the prevalence was 1.65%; pelvic fluid 136 cases, the prevalence was 2.35%; other (leukoplakia, vestibular gland cyst) in 6 cases, the prevalence of 0.034%; CIN Ⅰ-Ⅱ 11 cases of cervical Ca 5 cases, 7 cases of cervical cancer. The incidence of chronic cervicitis and vaginitis is related to age. The prevalence of chronic cervicitis and vaginitis is high in patients aged 20-30 years (63.05% and 34.73%, respectively) with age (P <0.01). Uterine fibroids 20-30 years old prevalence rate of 0.68%, 41-50 years old prevalence was 5.13%. Increased with age, but decreased to 1.58% after menopause (P <0.01). Conclusion Reproductive tract infection is the main disease affecting women’s health. The emphasis is on the general survey of gynecological diseases and systematic treatment of common gynecological diseases. The key intervention for women of high incidence is to achieve gynecological diseases such as early detection and early diagnosis , Early treatment), thereby reducing the “two rates” (morbidity, mortality) of the key, but also women’s health is an important task facing.