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目的了解新疆精河县育龄妇女宫颈病变的发病情况。方法2007年1月～2008年1月县直各医疗机构、妇幼站、6个乡镇卫生院等门诊,对所有就诊病人中育龄妇女,涵盖各民族、各年龄段,采用三阶梯技术,即传统的妇科检查加宫颈细胞学检查初筛,从人群中筛出宫颈区域的各种病变,阴道镜检查配合病理检查,阴道镜检阳性病人在阳性区域取活检,进行活体细胞学检测此检查为最终诊断宫颈病变的金标准及可靠依据。结果筛查育龄妇女5 484人次,阳性病人1 158例,精河县育龄妇女宫颈病变的发病率占总筛查数的21.12%,发病呈高发态势。结论精河县育龄妇女宫颈病变的发病率较高,应给予适当的健康指导及治疗,协助就诊女性预测未来是否存在宫颈病变的风险,从而确定患者复查的时间间隔与方法的选择,使育龄妇女宫颈病变早发现、早治疗,积极的干预处理癌前期病变以阻断病程,降低发病率及病死率,配合认真的普查和随访,从而提高育龄妇女的生活及生存质量。
Objective To understand the incidence of cervical lesions in women of childbearing age in Jinghe County, Xinjiang. Methods From January 2007 to January 2008, county-level medical institutions, maternal and child stations, 6 township hospitals and other outpatient clinics applied the three-step technique to all women of childbearing age in all the patients, covering all ethnic groups and all ages. Gynecological examination plus cervical cytology screening screening, screening out from the crowd a variety of cervical lesions, colposcopy with pathological examination, colposcopy-positive patients in the positive area to take biopsy for in vitro cytology This test is the final Diagnosis of cervical lesions of the gold standard and reliable basis. Results The screening of 5 484 women of childbearing age, 1 158 cases of positive patients, the incidence of cervical lesions in fertile women in Jinghe County accounted for 21.12% of the total number of screening, the incidence was high. Conclusion The incidence of cervical lesions in fertile women of Jinghe County is relatively high. Appropriate health guidance and treatment should be given to help women predict the future risk of cervical lesions, so as to determine the time interval and method of patient review so that women of childbearing age Early detection of cervical lesions, early treatment, positive intervention in the treatment of precancerous lesions to block the course, reduce morbidity and mortality, with careful census and follow-up, thereby enhancing the quality of life and quality of life of women of childbearing age.