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目的:分析广东粤北瑶族地区农村妇女宫颈癌前病变及宫颈癌临床特征。方法:选择2014年6-11月在韶关市乳源瑶族自治县妇幼保健院接受宫颈癌筛查的1 838名农村妇女作为研究对象,进行宫颈液基细胞学检查和宫颈活组织检查。结果:35~44岁女性宫颈液基细胞学异常率、宫颈活检病理检查CIN病变率显著高于45~54岁、55~64岁女性(P<0.05);45~54岁女性宫颈癌患病率显著高于35~44岁、55~64岁女性(P<0.05)。结论:35~44岁是广东粤北瑶族地区农村妇女宫颈液基细胞学检查异常率和CIN病变高危年龄段,45~54岁是女性宫颈癌易发年龄段,建议相关部门加强和完善少数民族地区的疾病筛查系统,进行早诊断、早治疗,降低宫颈癌患病率和病死率。
Objective: To analyze the clinical characteristics of cervical precancerous lesions and cervical cancer in rural women in Yao northern Guangdong. Methods: A total of 1 838 rural women who underwent screening for cervical cancer in the Ruyuan Yao Autonomous County Maternal and Child Health Hospital of Shaoguan City from June to November 2014 were selected as the study subjects, and cervical liquid-based cytology and cervical biopsy were selected. Results: The abnormal rate of cervical liquid-based cytology and cervical biopsy in 35-44-year-old women were significantly higher than those of 45- 54-year-old women and 55-64-year-old women (P <0.05) The rates were significantly higher than those of 35-44 years old, 55-64 years old women (P <0.05). Conclusion: 35-44 years old is the abnormality rate of cervical liquid-based cytology and the high-risk age group of CIN in rural women of Yao nationality in Guangdong province of northern Guangdong. 45-54 years old is the age-prone female cervix cancer. It is suggested that related departments should strengthen and improve the ethnic minorities Regional disease screening system, early diagnosis and early treatment, reduce the prevalence of cervical cancer and mortality.