目的:探究和分析边疆地区农村妇女宫颈癌的有效防范措施,提高宫颈癌诊断及治疗效率,降低死亡率。方法:对绿春县的全县9个乡镇30~60岁的13000例农村妇女进行宫颈癌防治知识和宫颈癌筛查项目认知程度调查,实施妇科常规检查,醋酸染色/复发碘色检查,阳性体征者行阴道镜检查,采用巴氏涂片、组织病理学检查等方法进行宫颈癌筛查,检查结果回顾性分析。结果:共查出12741人患有一种以上的妇科疾病,总患病率93%,其中初筛异常者631例进行阴道镜检查,阴道镜检查异常者共371例行阴道镜下宫颈组织病理学检查。结果 13000名检查妇女中,宫颈癌前病变(CIN)共32例,患病率为0.25%;CIN1-CIN3的发病高峰年龄为35~45岁的妇女,牛孔乡发病率高,戈奎乡次之。结论:宫颈癌及癌前病变的发生已经有年轻化的趋势,特别是对农村妇女的健康与生命构成了严重威胁,可能与个人性卫生知识缺乏、地理环境污染等有关。我国近两年开展的妇女宫颈癌免费筛查项目是早期发现CIN和宫颈癌的重要措施,可以有效的提高宫颈癌诊断及治疗效率,降低死亡率,对妇女健康水平具有促进作用。 Objective: To explore and analyze the effective precautionary measures for cervical cancer in rural women in border areas, to improve the diagnosis and treatment of cervical cancer and reduce the mortality rate. Methods: A total of 13000 rural women in 30 townships and 30 ~ 60 in Luochun County were enrolled in the study of cervical cancer prevention and control and cervical cancer screening project. The routine gynecological examination, acetic acid staining / recurrent iodine test, Positive signs colposcopy, Pap smear, histopathological examination and other methods of cervical cancer screening, the test results were retrospectively analyzed. Results: A total of 12741 cases of gynecological diseases were found with a total prevalence of 93%. Among them, 631 cases with abnormal primary screening were examined by colposcopy and 371 cases with abnormal colposcopy were examined by colposcopy. Cervical histopathology an examination. Results Among the 13,000 women examined, 32 cases of cervical precancerous lesions (CIN) had a prevalence of 0.25%. The highest incidence of CIN1-CIN3 was between 35 and 45 years old. Second. Conclusion: The incidence of cervical cancer and precancerous lesions has been younger, especially for the health and life of rural women, which may be related to the lack of personal health knowledge and the pollution of geographical environment. Women’s cervical cancer screening program carried out in recent two years in our country is an important measure to detect CIN and cervical cancer early, which can effectively improve the diagnosis and treatment of cervical cancer, reduce mortality and promote women’s health.