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目的:通过对肃州区城镇35～59岁妇女开展“两癌”筛查,分析城镇妇女的保健意识和健康情形。方法:根据《肃州区城镇妇女“两癌”普查工作实施方案》进行问卷调查,签署知情同意书,常规妇科及宫颈刮片检查,对宫颈巴氏染色Ⅲ级以上的患者转诊到酒泉市医院继续进行阴道镜、宫颈组织病理学检查,并追踪随访。结果:通过对7 402例妇科检查和7 278例宫颈刮片结果进行分析,患一种或一种以上疾病5 016例,其中宫颈疾病(包括宫颈糜烂、宫颈肥大、宫颈纳氏囊肿、宫颈息肉、宫颈管炎等)3 537例,患病率47.78%,阴道炎916例,患病率12.38%。宫颈刮片巴氏染色Ⅲ级以上117例,宫颈刮片异常率1.61%,经过追踪随访,宫颈上皮内瘤变41例,患病率为0.56%;宫颈癌5例,患病率为0.07%。结论:加大妇女健康保健宣教,定期进行妇女病检查,降低宫颈癌患病率,保障妇女健康权益,提升妇女健康水平。
OBJECTIVE: To screen the “two cancers” of 35- to 59-year-old women in urban areas of Suzhou district and analyze the health awareness and health status of urban women. Methods: A questionnaire survey was conducted according to the Implementation Plan of “Surveys of Urban Women in Two Provinces and Cancer Surveys in Suzhou District”, signed informed consent, routine gynecology and cervical smear examination, and referred to patients with grade Ⅲ or higher cervical Papanicolaou Jiuquan City Hospital continued colposcopy, cervical histopathology, and follow-up. Results: By analyzing 7 402 gynecological examinations and 7 278 cervical smear results, there were 5 016 cases of one or more diseases, including cervical erosion (including cervical erosion, cervical hypertrophy, cervical neoplasms, cervical polyps , Cervical canalitis, etc.) 3 537 cases, the prevalence rate of 47.78%, 916 cases of vaginitis, the prevalence rate of 12.38%. Cervical smear Pap smear grade Ⅲ 117 cases, cervical scraper abnormal rate of 1.61%, after follow-up, cervical intraepithelial neoplasia in 41 cases, the prevalence was 0.56%; cervical cancer in 5 cases, the prevalence was 0.07% . CONCLUSION: Women’s health education should be stepped up, women’s disease should be checked regularly, the prevalence of cervical cancer should be reduced, the rights and interests of women should be protected, and the women’s health should be improved.