宫颈横裂皱褶处上皮病理学改变分析  

Pathological changes of epithelium in cervical laceration

作　　者：陆春雪[1] 杜丽敏[1] 梁美艳[1] 姜涛[1] 张淑兰[1] 

机构地区：[1]中国医科大学附属第二医院妇产科

出　　处：《中国医科大学学报》2006年第4期425-426,共2页Journal of China Medical University

基　　金：辽宁省科学技术计划项目(2003225004)

摘　　要：目的:研究宫颈外口横裂皱褶处上皮组织的病理学改变。方法:分析83例Re id阴道镜评分(RC I)为0分的宫颈横裂处上皮的组织病理学结果,并以这83例宫颈的RC I 0分非皱褶处上皮组织作为对照组,将两组结果进行比较。结果:83例RC I 0分的皱褶处上皮中,22例(26.5%)存在宫颈上皮内瘤变(C IN),其中C IN I 18例,C IN II 4例;83例RC I 0分的非皱褶处上皮中,6例(7.2%)存在C IN,其中C IN I 4例,C IN II 2例。两组比较,差异显著(P<0.005)。结论:宫颈外口横裂的皱褶处更易发生病变,该处的组织病理学结果常高于阴道镜拟诊,活检时应常规检取皱褶处上皮。Objective： To study the pathological changes of epithelium in the cervical laceration. Methods： The pathological records of 83 cases in which Reid Colposcopic Index （RCI） of the epithelium in the cervical laceration was 0 were used as the experiment group, and the pathological results of the epithelium at other sites in the cervix were used as the control. Results： In the experiment group, 26.5 % （22 of 83 cases） had cervical intraepithelial neoplasia （CIN） , including 18 CINⅠand 4 CINⅡ. In the control group, 7.2% （6 of 83 cases） had CIN, including 4 CINⅠ and 2 CINⅡ. There was significant difference in the incidence of CIN between these 2 groups （ P 〈0.005）. Coneluslon： Cervical lesions in the laceration occur more often. The pathological examination in the laceration is more accurate than the colposcopy, and should be routinely performed in cervical biopsy.

关 键 词：宫颈上皮内瘤变 病理学 阴道镜 横裂 皱褶 

分 类 号：R737.33[医药卫生—肿瘤]