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目的了解双流县农村妇女中宫颈癌的发病情况,对监测对象宫颈癌进行早期发现、早期诊断。方法对双流县3个镇35～59岁的妇女共6 005名,采用巴氏涂片的方法进行宫颈癌的筛查;并对初筛异常的601人进行阴道镜检查,阴道镜检查异常者,行阴道镜下宫颈组织病理学检查。结果 6 005名免费检查的妇女中慢性宫颈炎症288人,宫颈活检阳性12人,其中:CIN1有8人,CIN2为3人,宫颈浸润癌1人。CIN1、CIN2发病高峰为35～45岁性生活较活跃的妇女。兴隆镇、公兴镇、胜利镇受检妇女宫颈异常的发病率分别为0.16%,0.22%,0.25%。结论宫颈癌及癌前病变的发生已经有年轻化的趋势,宫颈癌前病变和宫颈癌的发病可能与地理环境污染有关。
Objective To understand the incidence of cervical cancer in rural women in Shuangliu County and to detect early detection and early diagnosis of cervical cancer in monitoring subjects. Methods A total of 6 005 women aged 35-59 years from 3 towns in Shuangliu County were enrolled in this study. Pap smear was used to screen cervical cancer. Colposcopy was performed on 601 people with abnormal primary screening, and colposcopy was abnormal Underwent colposcopic cervical histopathological examination. Results There were 288 chronic cervicitis and 12 cervical biopsy in 6 005 free women. Among them, 8 were CIN1, 3 were CIN2 and 1 was cervical invasive carcinoma. CIN1, CIN2 peak incidence of 35 to 45-year-old woman sex life more active. The prevalence of cervical abnormalities in Xinglong, Gongxing and Shengli women was 0.16%, 0.22% and 0.25% respectively. Conclusion Cervical cancer and precancerous lesions have been younger trend, cervical precancerous lesions and cervical cancer may be related to the geographical environment pollution.