Screening and risk assessment of early stage cervical cancer in health examination population
نویسنده
چکیده
Cervical cancer is one of the most common diseases in female, seriously threat women's health, easily lead to cancer or death. This study was to explore early cervical cancer by screening of health examination population and risk assessment, and then to reduce the incidence of cervical cancer. In our hospital, 2002, early stage cervical cancer cases by screening of health examination population were the research object. Cervical cancer cases, colposcopy testing and pathological biopsy cases were given questionnaires. All the data were analyzed using single factor and multiple factor analysis method. Among the health examination population, 202 cases were given colposcopy testing in our hospital. 1800 cases were accepted the colposcopy testing and pathological biopsy. Among them, 150 cervical cancer patients were found. The clinical features of the tumor were the lower stage, the histological higher differentiation. The pathology types were mainly squamous cell carcinoma and adenocarcinoma. One way-ANOVA results showed that the early sage cervical cancer risk factors included: HPV infection, age at menarche and sexual life, personal hygiene habits, smoking, age and education level, which had little effect on cervical cancer. Multivariate logistic regression analysis showed that independent risk factors of cervical cancer were HPV infection or not (OR=2.023), age at menarche and sexual life (OR=1.347) and personal health habits (OR=1.248). HPV infection or not, age at menarche and sexual life, personal hygiene habits are independent risk factor for early cervical cancer. Screening and risk assessment have benefit for the prevention and treatment of cervical cancer occurrence and development, which also can effectively reduce cervical cancer complications and mortality.
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