摘要
目的:讨论性交出血与宫颈癌及癌前病变的关系。方法:2011年1月至2012年11月我院妇科门诊在自愿接受宫颈癌筛查的患者中选取有性交出血史的631例患者均进行液基细胞学检查、电子阴道镜下宫颈四象限多点活检+宫颈管搔刮术(ECC),然后病理诊断,对临床资料进行回顾性分析。结果:TCT阳性率55.47%,其中LSIL 194例,占30.75%,ASC-US 76例(12.04%),ASC-H 31例(4.91%),HSIL 48例(7.61%),AGC 1例(0.16%)。阴道镜下活检病理结果,宫颈上皮内瘤变(CIN)176例(27.89%),其中CINⅡ+CINⅢ101例(57.39%);宫颈癌19例(3.01%)。结论:性交出血是宫颈病变的警示,我们要重视有性交出血的患者,重点随访。为了降低其宫颈癌及癌前病变漏诊率及误诊率,要采用积极的检查手段。
Objectives： To discuss the relation among sexual intercourse bleeding, cervical cancer and precancerous le- sions. Method： 631 cases of sexual intercourse bleeding outpatients from January 2011 to November 2012 were selected and re- ceived gynecology clinic voluntary cervical cancer screening who have a history of underwent liquid - based cytology, colposcopy and cervical electronic four - quadrant multi - biopsy ＋ endocervical curettage （ ECC）, and the pathological diagnosis. The clinical data were retrospectively analyzed. Results： TCT positive rate was 55.47%, of which there were 194 cases of LSIL, ac- counting for 30. 75% ; 76 cases of ASC - US （ 12. 04% ）, 31 cases of ASC - H （4.91%）, 48 cases of HSIL （7. 61% ） and 1 case of AGC （0. 16% ）. Colposcopic biopsy results showed that there were 176 cases of cervical intraepithelial neoplasia （CIN） （27.89%）, 101 cases of CIN II ＋ CIN III （57.39%） and 19 cases of cervical cancer （3.01%）. Conclusion： sexual inter- course bleeding is the caution of cervical lesions, extra attention and follow - ups should be paid to patients who have sexual inter- course bleeding in order to reduce its rate of missed diagnosis of cervical cancer and precancerous lesions and the misdiagnosis rate.
出处
《中国性科学》
2013年第10期6-9,共4页
Chinese Journal of Human Sexuality
关键词
性交出血
宫颈癌
癌前病变
Sexual Intercourse Bleeding
Cervical Cancer
Precancerous Lesions
