CAJ | 학술논문

目的：了解乌鲁木齐市维吾尔族女性保洁工人宫颈癌防治知识知晓及筛查参与情况，了解人乳头瘤病毒（HPV）感染状况和宫颈病变的检出情况，为制定宫颈癌防治策略提供参考依据。方法选取乌鲁木齐市以维吾尔族妇女为主要职员的2个保洁公司中年龄在25~59岁的维吾尔族妇女，以保洁公司为抽样单位，采取多层次整群随机抽样方法获得调查样本144人，进行宫颈癌筛查的认知问卷调查和 HC-2 HPV-DNA 检测，对 HPV 检测结果阳性者行电子阴道镜检查和宫颈活检。结果有69.44%患者对宫颈癌相关知识几乎不知道，26.39%患者有所了解，88.19%患者从未做过宫颈涂片，近3年曾做过宫颈涂片的仅占2.78%；不愿参加宫颈癌筛查的原因显示57.64%的妇女认为筛查费用太高或经济困难，23.61%的妇女因为担心查出癌症所以不愿去检查；144名参加宫颈癌筛查的维吾尔族妇女中，HPV 阳性者占44名，阳性率为29.17%，其中4名妇女拒绝行阴道镜检查，140名 HPV 阳性的妇女行阴道镜检查＋宫颈活检，活检病理结果为：宫颈上皮内瘤变Ⅰ级4人、Ⅱ~Ⅲ级6人，鳞状上皮细胞癌抗原1人，其余129人为炎症。结论低收入人群宫颈癌防治相关知识知晓率普遍较低，但 HPV 感染率高，对该类人群采取多种形式的健康教育及政府提供一定的资助有利于提高宫颈癌筛查参与率。
목적：료해오로목제시유오이족녀성보길공인궁경암방치지식지효급사사삼여정황，료해인유두류병독（HPV）감염상황화궁경병변적검출정황，위제정궁경암방치책략제공삼고의거。방법선취오로목제시이유오이족부녀위주요직원적2개보길공사중년령재25~59세적유오이족부녀，이보길공사위추양단위，채취다층차정군수궤추양방법획득조사양본144인，진행궁경암사사적인지문권조사화 HC-2 HPV-DNA 검측，대 HPV 검측결과양성자행전자음도경검사화궁경활검。결과유69.44%환자대궁경암상관지식궤호불지도，26.39%환자유소료해，88.19%환자종미주과궁경도편，근3년증주과궁경도편적부점2.78%；불원삼가궁경암사사적원인현시57.64%적부녀인위사사비용태고혹경제곤난，23.61%적부녀인위담심사출암증소이불원거검사；144명삼가궁경암사사적유오이족부녀중，HPV 양성자점44명，양성솔위29.17%，기중4명부녀거절행음도경검사，140명 HPV 양성적부녀행음도경검사＋궁경활검，활검병리결과위：궁경상피내류변Ⅰ급4인、Ⅱ~Ⅲ급6인，린상상피세포암항원1인，기여129인위염증。결론저수입인군궁경암방치상관지식지효솔보편교저，단 HPV 감염솔고，대해류인군채취다충형식적건강교육급정부제공일정적자조유리우제고궁경암사사삼여솔。
Objective To understand the awareness and participation of cervical cancer screening,and the human pappillomavirus(HPV)infection rate and the cervical lesions prevalence status in Uighur female cleaning workers in Urumqi,in order to provide the reference basis for the prevention and treatment of cervical cancer. Methods A total of 144 Uighur female cleaning workers aged from 25 to 59 years was selected by multi-level cluster random sampling method from two cleaning company in Urumqi city. Cervical cancer screening questionnaire and HC-2 HPV-DNA test was executed. Electronic colposcopy and cervical biopsy was applied to the HPV positive one. Results There were 69. 44% participants having no knowledge of cervical cancer screening,only 26. 39% participants knowing a little;88. 19% participants never having a cervical smear,only 2. 78% having a cervical smear in 3years;the reason of no cervical cancer screening among participants showed that 57. 64% of them declared the screening fees too expensive or difficult economic, 23. 61% of the women having fears of cervical cancer detection. A total of 144 cases of Uighur women in cervical cancer screening,44 cases were HPV positive with positive rate 29. 17% and in which 4 of them refused to colposcopy. A total of 140 cases of HPV positive women underwent vaginal endoscopy and cervical biopsy,and pathological biopsy results presented that CINI were 4 cases,CIN Ⅱ-Ⅲ 6 cases,SCC 1 case,and 129 cases with inflammation. Conclusions Generally low income crowd of Uighur women have low rate of knowledge about the prevention and treatment of cervical cancer,but HPV infection rate is high in the crowd. To provide some funding or take various forms of health education are benefit to the improvement of cervical cancer screening participation rate for this crow of Uighur.