[目的]了解德州市城乡妇女生殖健康状况。[方法]在德州市4个县市分别选取城区及乡村作为试点,通过体检的方式分别计算了每个试点妇科疾病患病率,同时对不同测试地点妇女的生活环境进行了调查,对污水灌溉地点的妇女妇科疾病患病率与清水灌溉地点的妇科疾病患病率进行了比较。[结果]盆腔炎、宫颈炎和阴道炎患病率乡村大于城区。乳腺疾病和子宫肿瘤的患病率城乡之间没有差别。污水灌溉区妇女盆腔炎、阴道炎、宫颈炎及子宫肿瘤的患病率高于清水灌溉地区妇女患病率,污水灌溉区妇女乳腺疾病患病率与清水灌溉区妇女乳腺患病率相差不大。[结论]加强农村妇女生殖健康教育,严格控制污水灌溉,加强对水污染的治理。 [Objective] To understand the reproductive health status of women in urban and rural areas of Dezhou. [Methods] The urban and rural areas were selected as the pilot in four counties and cities of Dezhou. The prevalence of gynecological diseases in each pilot was calculated through physical examination. At the same time, the living environment of women in different test sites was investigated. The prevalence of women’s gynecological diseases at the site was compared with the prevalence of gynecological diseases at the site of fresh water irrigation. [Results] The prevalence of pelvic inflammatory disease, cervicitis and vaginitis in rural areas than in urban areas. Prevalence of breast and uterine tumors There is no difference between urban and rural areas. The prevalence of pelvic inflammatory disease, vaginitis, cervicitis and uterine cancer in wastewater irrigated areas was higher than that of women in irrigated areas. The prevalence of breast diseases among women in irrigated areas was similar to that of women in irrigated areas . [Conclusion] The rural women’s reproductive health education should be strengthened, the sewage irrigation should be strictly controlled, and the treatment of water pollution should be strengthened.