摘要
目的分析宫颈癌变及癌前病变与患者年龄、生育、流产史及宫颈炎变之间的关系。方法选取2007年2月～2011年2月门诊及住院部1263例患者宫颈TCT检测,对患者年龄,生育、流产史,有无慢性宫颈炎(宫颈肥大、宫颈糜烂、宫颈纳腺体囊肿、宫颈息肉、宫颈内膜炎)进行统计、分析,诊断标准采用TBS分类系统。细胞学异常者行阴道镜和组织病理学检查。结果 1263例患者细胞学异常者62例,阳性率4.9%;腺癌1例(1.61%),鳞状细胞癌2例(3.23%),高度宫颈鳞状上皮内病变(HSIL)5例(8.06%),低度宫颈鳞状皮内病变(LSIL)31例(50.00%),不典型的鳞状上皮细胞/腺上皮细胞(ASC/AGS)23例(37.10%)。不同年龄细胞学异常检出率比较差异无统计学意义。有3次及以上生育、流产史的患者细胞学异常检出率明显高于只有0～2次生育、流产史的患者。有慢性宫颈炎的患者细胞学异常检出率明显高于无慢性宫颈炎的患者。结论有3次及以上生育流产史患者及患有慢性宫颈炎患者宫颈癌及宫颈癌前病变发生率增加。
Objective Analysis of cervical cancer and precancerous lesions and patient age, fertility, abortion, and variable relationship between cervicitis. Methods 2007February -2011February selected from outpatient and inpatient department in 1263 patients of cervical TCT detection, the age of the patients, fertility, abortion history, there is no chronic cervicitis （ cervical hypertrophy, cervical erosion, cervical, gland cyst, cervical polyps, cervical endocarditis ） statistics, analysis, diagnosis criteria by using the TBS classification system. Abnormal cytology colposcopy and pathological examination Results In 1263 patients with abnormal cytology in 62 cases, the positive rate of 4.9%; adenocarcinoma in 1 cases （1.61%）,2 cases of squamous cell carcinoma （3.23%）, the height of cervical squamous intraepithelial lesions （ HSIL ） in 5 cases （8.06%）, low grade cervical squamous skin lesions （ LSIL ） in 31 cases （50%）, atypical squamous epithelial cells / glandular epithelial ceils （ASC /AGS ） in 23 patients （37.10%）. Different age of abnormal cytology detection rate is not statistically significant differences. There are over 3 times of birth, history of abortion patients with abnormal cytology detection rate was significantly higher than that of only 0-2birth, history of abortion patients. There is chronic cervicitis patients with abnormal cytology detection rates were significantly higher than in patients without chronic cervicitis. Conclusion There are over 3 times of fertility history of abortion patients and patients with chronic cervicitis cervical cancer and cervical precancerous lesions increase in incidence.
出处
《当代医学》
2012年第32期91-92,共2页
Contemporary Medicine
关键词
宫颈癌及宫颈癌前病变
慢性宫颈炎
生育流产史
液基薄层细胞学
Cervical cancer and cervical precancerous lesions
Chronic cervicitis
Reproductive history of abortion
Liquid based cytology
