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目的:了解宫颈病变,尤其是宫颈癌前病变及宫颈癌在已婚妇女中的的发病情况,以保障妇女健康。方法:选取2008年1月—2009年12月妇女疾病普查中2 400例宫颈病变患者,回顾性分析其发病原因,发病类型及意义。结果:2 400例宫颈病变患者中,宫颈光滑665例(27.70%);宫颈糜烂1 078例,占44.92%;宫颈管增生76例,占3.10%;宫颈肥大288例,占12.00%;宫颈纳氏囊肿195例,占8.10%;宫颈息肉98例,占4.08%;电子阴道镜下异常图像165例,占6.87%。所有患者均进行阴道镜下宫颈活检。结论:宫颈病变发病率呈上升趋势,电子阴道镜下定点活检可提高宫颈癌前病变及早期宫颈癌的检出率和准确率,妇女疾病普查对防治宫颈病变有重要意义。
Objective: To understand the incidence of cervical lesions, especially cervical precancerous lesions and cervical cancer in married women in order to protect the health of women. Methods: A total of 2 400 cases of cervical lesions in the survey of women’s diseases from January 2008 to December 2009 were retrospectively analyzed. The causes, incidence types and their significance were retrospectively analyzed. Results Cervical smoothness was 665 (27.70%) in 2 400 cervical lesions, 1 078 cervical erosion, accounting for 44.92%, 76 cervical canal hyperplasia (3.10%), cervical hypertrophy 288 (12.00%), cervical 195 cases of cyst, accounting for 8.10%; 98 cases of cervical polyps, accounting for 4.08%; electron colposcopy abnormal image of 165 cases, accounting for 6.87%. All patients underwent colposcopic cervical biopsy. Conclusion: The incidence of cervical lesions is on the rise. Electron colposcopy biopsy can improve the detection rate and accuracy of cervical precancerous lesions and early cervical cancer. Census of women’s diseases is of great significance in the prevention and treatment of cervical lesions.