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目的分析宫颈癌合并梅毒感染患者的特征,为宫颈癌合并梅毒的防治提供依据。方法回顾性调查592例住院宫颈癌合并梅毒螺旋体抗体阳性患者,统计、分析病案相关资料。结果梅毒感染者占宫颈癌患者总数的6.68%,合并感染者的检出率从2007年的5.17%上升到2013年的7.79%(P<0.01)。年龄以41~50岁为最高,占41.72%。职业以农民比例为最高,占79.56%。文化程度以文盲者居多,占49.32%;其次为小学,占25.51%。临床类型以既往梅毒为最多,占64.19%;其次为隐性梅毒,占35.81%。宫颈癌合并梅毒病理类型以鳞状细胞癌多见,占93.41%。结论宫颈癌合并梅毒感染的检出率逐年升高,其与职业、文化程度、年龄相关,均为既往和隐性梅毒。
Objective To analyze the characteristics of patients with cervical cancer complicated with syphilis infection and provide basis for the prevention and treatment of cervical cancer complicated with syphilis. Methods A retrospective survey of 592 cases of hospitalized cervical cancer patients with syphilis antibody positive, statistics, analysis of medical records related information. Results The number of syphilis infected patients accounted for 6.68% of the total number of patients with cervical cancer. The detection rate of co-infected patients rose from 5.17% in 2007 to 7.79% in 2013 (P <0.01). The age of 41 to 50 years old is the highest, accounting for 41.72%. Occupation in the highest proportion of farmers, accounting for 79.56%. The majority of illiterate people were educated, accounting for 49.32%, followed by primary school, accounting for 25.51%. The prevalence of previous clinical patterns of syphilis was 64.19%, followed by latent syphilis, accounting for 35.81%. Cervical cancer with syphilis pathological type squamous cell carcinoma more common, accounting for 93.41%. Conclusions The detection rate of cervical cancer complicated with syphilis increased year by year, which was related to occupation, education level and age, both of them were past and latent syphilis.