印度喀拉拉邦宫颈发育异常和生殖道感染的筛查：一项多中心研究。
Screening for cervical dysplasia and reproductive tract infections in Kerala, India: A multicentric study.
作者信息
Tom Jeremiah Jacob, Vaz Clint, Nisha Catherin
机构信息
Department of Community Medicine, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Department of Clinical Immunology and Rheumatology, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
出版信息
J Family Med Prim Care. 2020 Aug 25;9(8):4107-4111. doi: 10.4103/jfmpc.jfmpc_514_20. eCollection 2020 Aug.
BACKGROUND
Cancer of the uterine cervix is estimated to the second most frequently occurring malignancy among females in India. Cancer mortality profile in India estimates that 20.7% of cancer deaths in females are cervical cancer. This well elucidates the fatal aspect of the disease and the need for early detection.
AIMS
To screen for cervical dysplasias and reproductive tract infections in various parts of Kerala, India, and determine its associated factors.
METHODS AND METHODOLOGY
This was a descriptive cross-sectional study conducted in various parts of Kerala, India. This study included an interview schedule to collect data and the procedures included per speculum examination along with a Pap smear test.
RESULTS
A total of 199 women were screened with mean age of 45.87 ± 9.84 years. Of these, 13.5% showed inflammatory smears, 1% showed infective pathology and 1.5% showed pre-malignant lesions.
CONCLUSION
The increased rates of inflammation and infection show its importance in public health. Similar community-based screening as well as routine screening by physicians/gynaecologists is recommended for early detection of cervical cancer and reproductive tract infections. Community education among the population proves to be an important factor; especially regarding HPV vaccination.
背景
据估计，子宫颈癌是印度女性中第二常见的恶性肿瘤。印度的癌症死亡率数据显示，女性癌症死亡病例中有20.7%是宫颈癌。这充分说明了该疾病的致命性以及早期检测的必要性。
目的
在印度喀拉拉邦各地筛查宫颈发育异常和生殖道感染，并确定其相关因素。
方法和方法论
这是一项在印度喀拉拉邦各地进行的描述性横断面研究。该研究包括一份用于收集数据的访谈问卷，程序包括窥器检查和巴氏涂片检查。
结果
共筛查了199名女性，平均年龄为45.87±9.84岁。其中，13.5%的涂片显示有炎症，1%显示有感染性病变，1.5%显示有癌前病变。
结论
炎症和感染率的上升表明其在公共卫生中的重要性。建议进行类似的社区筛查以及医生/妇科医生的常规筛查，以早期发现宫颈癌和生殖道感染。对人群进行社区教育被证明是一个重要因素；特别是关于人乳头瘤病毒疫苗接种。
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