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目的了解北京市朝阳区、怀柔区、西城区适龄妇女生殖健康状况。方法 2008年1月-2009年2月在朝阳区、怀柔区、西城区,对25~65岁当地户籍妇女进行妇科及宫颈细胞学检查,并记录个人基本信息及个人病史。结果三个区县实际筛查148 989人,宫颈癌筛查率20.94%;妇科筛查结果异常者59 834人,异常检出率40.16%;其中妇科异常最常见的情况是宫颈炎,检出率为341.35‰;阴道炎74.48‰;子宫肌瘤29.24‰;组织病理诊断宫颈上皮内瘤变333例(CINⅠ158例;CINⅡ87例;CINⅢ88例),宫颈浸润癌31例,其他妇科恶性肿瘤7例。结论适龄妇女生殖健康状况不容忽视,定期开展宫颈癌筛查,早期发现并治疗癌前病变,提高妇女健康水平。
Objective To understand the reproductive health status of women of the right age in Chaoyang District, Huairou District and Xicheng District of Beijing. Methods January 2008 - February 2009 in Chaoyang District, Huairou District, Xicheng District, 25 to 65-year-old local women women with gynecological and cervical cytology, and records of personal basic information and personal medical history. Results In the three districts and counties, 148 989 people were screened and the rate of cervical cancer screening was 20.94%. The number of gynecological screening abnormalities was 59 834, the rate of abnormality was 40.16%. The most common gynecological diseases were cervicitis, The rate was 341.35 ‰; vaginitis 74.48 ‰; uterine fibroids 29.24 ‰; histopathological diagnosis of cervical intraepithelial neoplasia in 333 cases (CIN Ⅰ 158 cases; CIN Ⅱ 87 cases; CIN Ⅲ 88 cases), cervical invasive carcinoma in 31 cases, other gynecologic malignancies in 7 cases. Conclusion Reproductive health status of women of the same age can not be neglected. Cervical cancer screening should be carried out on a regular basis to detect and treat precancerous lesions at an early stage and improve women’s health.