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目的:探讨湖州市2007～2010年子宫颈疾病的发病待点,为湖州市子宫颈癌的防治提供基础。方法:回顾性分析湖州市妇幼保健院15 713例阴道镜检查的子宫颈活检病理结果,分析湖州市子宫颈癌和癌前病变的发病特点以及各个不同年龄段的发病情况。结果:15 713例患者中,慢性子宫颈炎10 439例,占66.44%;低级别鳞状上皮内病变(LSIL)4 380例,占27.88%;高级别鳞状上皮内病变(HSIL)703例,占4.47%;鳞状细胞癌164例,占1.04%;腺体异型增生12例,占0.08%;腺癌12例,占0.08%。鳞状细胞癌及腺癌在≥60岁年龄组检出率最高,分别为9.47%及0.97%。在各个年龄段中,随着年龄的升高,LSIL的检出率下降,而鳞状细胞癌的检出率则上升(P<0.01)。结论:湖州市子宫颈癌的前驱病变检出率高,认真定期做好早期筛查,积极处理LSIL和HSIL,有利于湖州市子宫颈癌的预防与治疗。
Objective: To investigate the incidence of cervical disease from 2007 to 2010 in Huzhou City, and to provide the foundation for the prevention and treatment of cervical cancer in Huzhou City. Methods: The cervical biopsy results of 15 713 colposcopy patients in Huzhou MCH hospital were analyzed retrospectively. The incidence of cervical cancer and precancerous lesion in Huzhou were analyzed, and the incidence of different age groups was analyzed. Results: Of the 7 713 patients, 10 439 cases were chronic cervicitis, accounting for 66.44%; 4 380 cases of low-grade squamous intraepithelial lesion (LSIL), accounting for 27.88%; 703 cases of high grade squamous intraepithelial lesion (HSIL) Accounting for 4.47%; squamous cell carcinoma in 164 cases, accounting for 1.04%; gland dysplasia in 12 cases, accounting for 0.08%; adenocarcinoma in 12 cases, accounting for 0.08%. Squamous cell carcinoma and adenocarcinoma had the highest detection rate in the age group of 60 years old, 9.47% and 0.97% respectively. In all age groups, with the increase of age, the detection rate of LSIL decreased, while the detection rate of squamous cell carcinoma increased (P <0.01). Conclusion: The detection rate of precursor lesions of cervical cancer in Huzhou City is high. Earlier and earnest screening should be carried out on a regular basis. Active treatment of LSIL and HSIL is helpful for the prevention and treatment of cervical cancer in Huzhou City.