摘要:目的: 調查新疆地區維吾爾族與漢族子宮頸癌及癌前病變發病情況,分析宮頸癌高發原因。 方法 : 2000年1月至2005年12月新疆自治區人民醫院婦產科門診及病房行宮頸細胞學檢查的維吾爾族、漢族婦女進行篩查,對宮頸病變陽性者(CINI以上)行病理組織學檢查,對結果進行對比分析、綜合評價。 結果 : 宮頸涂片人數共計23 205例,其中維吾爾族6 999例、漢族16 206例。宮頸病變陽性者237例,經陰道鏡下病理活組織檢查證實CINI以上(包括CINI、CINII、CINIII、原位癌、鱗癌、腺癌)病變人數173例,最小年齡31歲,原位癌(維吾爾族)、最大年齡76歲,宮頸磷癌(漢族)。維吾爾族105例(6069%)、漢族68例(3931%)。每年陽性例數中維吾爾族均高于漢族,其中2000年、2001年、2004年、2005年有極顯著性差異(P  lt;001),2002年、2003年有顯著性差異(P  lt;005),維吾爾族、漢族在各年齡組中的發病情況無顯著性差異(P  gt;005)。 結論 : 新疆地區宮頸癌及癌前病變的高發原因是由地區環境、醫療條件、醫學發展、救助措施等因素綜合作用的結果。
Abstract: Objective: To investigate the incidence of cervical cancer and cervical precancerous lesion of uigur nationality and han nationality, in addition, to analysis the cause of cervical cancer’s high incidence. Methods : At first screen cervical cytology of Uigur and Han outpatient and inpatient of department of gynecology and obstetrics in the People’s Hospital of Xinjiang Uigur Autonomous Region from January 1, 2000 to December 31, 2004Secondly biopsy for those patients that cervix pathological change shows positive, then contrast analysis and comprehensive evaluation. Results : Cervix smears are 23205 samples. Uigur nation has 6999 samples and Han nation has 16206 samples. There are 237 patients whose cervix pathological changes shows positive. Among them 173 samples were over CINⅠ(include CINⅠ,CINⅡ,CIN Ⅲ,carcinoma in situ, squamous carcinoma and adenocarcinoma) through colposcopy. The youngest was 31 and diagnosed carcinoma in situ(Uigur), the eldest was 76 and diagnosed squamous carcinoma(Han).The samples of Uigur is 105(6069%) and Han is 68(3931%).The positive samples in Uigur is higher than Han each year, the incidence has extremely significant difference among 2000,2001 and 2004(P  lt;001), while it has significant difference between 2002 and 2003 (P  lt;005), but in each age group it has no significant difference between Uigur and Han (P  gt;005). Conclusion : The high incidence of cervical cancer and cervical precancerous lesion in xinjiang is contribute to environment, medical condition, medical development and aid measures coaffect.

Citation： ZHAO Lixia,ZHAO Lihui,ZHANG Guiling.. Analysis of Cause of High Incidence of Cervical Cancer of Xinjiang Area from 2000 to 2005. West China Medical Journal, 2009, 24(10): 2656-. doi: Copy

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