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目的通过对接触性阴道出血的病因进行分析,研究其与宫颈病变的关系。方法选择2012年10月—2014年10月在该院接受治疗的150例妇女作为研究对象,给予常规的妇科检查与细胞学检查。结果妇科检查结果为宫颈糜烂(62.67%)所占的比例明显高于检查的其他结果如宫颈息肉(19.33%)、阴道炎(7.33%)、尖锐湿疣(3.33%)、宫颈癌(2.67%)等,宫颈涂片细胞学检查结果为巴氏Ⅱ级所占的比例(61.33%)明显高于巴氏Ⅰ级(29.33%)、Ⅲ级(5.33%)、Ⅳ级(2.67%)与Ⅴ级(1.33%),Ⅲ~Ⅴ级患者阴道镜活检结果宫颈上皮内瘤样变Ⅰ级(35.71%)明显高于宫颈原癌(14.29%)、宫颈鳞癌(7.14%)、腺癌1例(7.14%)及宫颈上皮内瘤样变Ⅱ级(21.43%)与Ⅲ级(14.29%),差异具有统计学意义(P<0.05)。结论接触性出血病因错综复杂,多数检查结果为良性,但部分为宫颈癌的早期病兆,针对接触性出血患者建议早期检查,避免宫颈病变,减少宫颈癌的发生。
Objective To analyze the etiology of contact vaginal bleeding and study its relationship with cervical lesions. Methods A total of 150 women undergoing treatment from October 2012 to October 2014 in our hospital were selected as the study subjects and were given routine gynecological and cytological tests. Results The proportion of cervical erosion (62.67%) in gynecological examination was significantly higher than that of other findings such as cervical polyps (19.33%), vaginitis (7.33%), condyloma acuminata (3.33%) and cervical cancer (61.33%) was significantly higher than that of Pap Ⅰ (29.33%), grade Ⅲ (5.33%), grade Ⅳ (2.67%) and grade Ⅴ (1.33%). The colposcopic biopsy results of grade Ⅲ ~ Ⅴ were 35.71% of cases with cervical intraepithelial neoplasia (14.29%), cervical squamous cell carcinoma (7.14%) and adenocarcinoma 7.14%) and cervical intraepithelial neoplasia grade Ⅱ (21.43%) and Ⅲ grade (14.29%), the difference was statistically significant (P <0.05). Conclusions The cause of contact bleeding is complicated. The majority of test results are benign, but some of them are early signs of cervical cancer. Early contact with patients with contact bleeding is recommended to prevent cervical lesions and reduce the incidence of cervical cancer.