摘要
Abstract
Objective To investigate the risk factors of cervical cancer in rural women and to provide reference for the prevention and treatment of cervical cancer.Methods From March to June,2014,the 35～65 years old rural women who lived in three towns of Weihai suburbs for over one year were selected as investigation objects.All the women received gynecological examination and liquid based cytology (TCT) examination.The occurrence of cervical disease and the risk factors of cervical erosion,cervical polyp,and carcinoma were were analyzed.Results 64.9％ of the 2986 women had cervical abnormalities.The cervix abnormal rate was highest in 35～45 years old group,second highest in 46～55 years old group,and lowest in 56～65 years old group.Among the 1938 women with cervical abnormalities,81.1％ were cervical erosion,15.4％ cervical polyps,0.2％ carcinoma in situ,and 3.3％ cervical laceration.The abnormal rate of TCT was 2.1％ among the 1938 women.The incidence of ASC-US was highest and that of HISL lowest.The incidence of cervical erosion in 35～45 years old,married people,income ＜1000 yuan,middle school and below,the number of sexual partner≥2,initial pregnancy age≤20 years old,pregnant times ＞ 2 times,producing time ＞ 2 times,or no regular census women were higher (P ＜ 0.05).The incidence of cervical polyp in 35～45 years old,married and divorced,primary and less educated,income ＜ 1000 yuan,the age of first sexual intercourse ＜ 16 years old,the number of sexual partners ≥ 2,or initial pregnancy age ＜ 20 women were higher (P ＜ 0.05).The incidence of carcinoma in situ in the women whose first sexual intercourse age ＜16 years old or the number of sexual partners ≥2 was higher.Conclusions The correct method of contraception and education of premarital sexual knowledge should be strengthened in rural women to improve their self health awareness.Late marriage and childbearing and fewer children should be advocated.Attention should be paid on the screening for cervical diseases.Women having sexual life,early marriage or childbearing,abortion history,history of sexually transmitted disease,and multiple sexual partners should have regular census and have pathological biopsy or colposcopy when in need.关键词
宫颈癌筛查/宫颈糜烂/宫颈息肉Key words
Cervical cancer screening/Cervical erosion/Cervical polyps
