中文摘要：

目的 了解基层不同年龄段已婚妇女妇科疾病的患病情况与疾病发展趋势,为开展妇科病的防治工作提供依据.方法 随机抽取昌黎县已婚妇女妇科病5000例普查结果进行分析,检查项目包括妇科检查、白带常规化验、宫颈细胞学检查,盆腔B超检查,对妇科检查可疑者行阴道镜检查,阴道镜异常者行病理组织学检查.结果 5000名受检者中查出患妇科病总人数3892例,患病率为81.50％.妇科常见病中慢性宫颈炎发病率居首位为2415例,患病率48.30％;其次为阴道炎2245例,患病率44.90％;子宫肌瘤188例,患病率3.76％;附件包块89例,患病率1.75％;盆腔积液80例,患病率1.58％;前庭大腺囊肿7例;宫颈癌前病变4例;确诊早期宫颈癌3例.慢性宫颈炎、阴道炎的发病与年龄有关,30～50岁年龄段患病率最高,分别为46.11％,30.43％,随年龄增长而下降（P＜0.01）.子宫肌瘤25～30岁患病率为1.32％,随年龄增长而上升,但绝经后降至1.00％.结论 生殖道感染是影响妇女健康的主要疾病,重视妇科病普查,系统规范地治疗妇科常见病,对高发年龄段的妇女进行重点干预,是实现妇科疾病三早（早发现、早诊断、早治疗）和降低两率（患病率、死亡率）的关键,亦是妇女保健面临的重要任务.

英文摘要：

Objective To analyze the gynecopathia of married women and provide basis for the prevention and control of disease.Methods 5000 married women were randomly selected from Changli.The gynecological examination,leucorrhea routine examination,cervical cytology,pelvic B ultrasound examination,gynaecology suspicious colposcopy examination and colposcopy for pathological histological abnormality were included.Results Of the 5000 subjects,there were 3892 cases with gynecological diseases.The incidence was 81.50%.The incidence of chronic cervicitis ranked first（48.30%）,followed by vaginitis（44.90%）,fibroids（3.76%）,adnexal mass（1.75%）and pelvic effusion（1.58%）.The incidence of chronic cervicitis vaginitis was related to age.The women at age of 30-50 years old had the highest rate.Conclusion The reproductive tract infection is the main diseases affecting the health of women.It needs to pay attention to gynecological census,system of standardized treatment of common gynecological diseases,key intervention on in the age group of women.