目的:了解五峰地区妇女妇科疾病患病情况。方法:对五峰地区适龄妇女行问卷调查、常规妇科检查以及宫颈刮片行巴氏染色,并应用醋染碘染结合阴道镜进行宫颈癌筛查,必要时行妇科B超检查。结果:2006~2008年共对5929名妇女进行普查,常见妇科疾病总患病率约27.55%,宫颈炎、宫颈柱状上皮异位、阴道炎、生殖道异常的患病率分别为15.70%,7.27%,12.21%及0.79%。不同年龄组间宫颈炎,宫颈柱状上皮异位及阴道炎患病率有显著(P〈0.05),≥50岁年龄组阴道炎患病率较高(13.68%),≤39岁组宫颈炎及宫颈柱状上皮异位患病率分别为20.28%及11.70%,高于其他年龄组(P〈0.05)。结论:妇科炎症是危害经济欠发达地区的主要疾病之一,且不同年龄间存在差异,针对不同年龄组妇女针对性开展普查,对减少妇科疾病、提高妇女健康是十分重要的。
Objective: To understand the prevalence of gynecological diseases in women in Wufeng county. Methods: The women of the right age in Wufeng county received questionnaire survey, routine gynecological examination, cervical scraping, and Papanicolaou staining; acetic acid staining, iodine staining combined with colposcopy were adopted for cervical cancer screening, gynecological ultrasonogra- phy was performed if necessary. Results : From 2006 to 2008, a total of 5 929 women received general investigation, the total prevalence rate of common gynecological diseases was 27. 55%. The prevalence rates of cervical inflammatory diseases, cervical columnar ectopy, vaginitis, and genital tract abnormality were 5.70%, 12. 21% , 7.27%, and 0. 79%, respectively. There was statistically significant difference in the prevalence rates of cervical inflammatory diseases, cervical columnar ectopy, and vaginitis among the women in different age groups ( P 〈 0. 05), the prevalence rate of vaginitis in ≥50 - year - old group was higher ( 13.68% ) . The prevalence rates of cervical inflammatory diseases and cervical columnar ectopy in ≤39 -year- old group were 20. 28% and 11.70%, respectively, which were statistically significantly higher than those in the other age groups (P 〈 0.05) . Conclusion: Gynecological diseases were the major diseases which were harmful in economic less - developed areas, and there was difference among women in different age groups ; general investigation should be performed targeting to women in different age groups, which are very important to reduce gynecological diseases and improve maternal health.