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作 者:陈阳阳[1] 李楷滨[1] 张利群[1] 丛云凤[1] 高永梅[1] 刘明哲[1]
机构地区:[1]吉林大学第一医院妇产科,吉林长春130061
出 处:《中国妇幼保健》2013年第1期133-135,共3页Maternal and Child Health Care of China
摘 要:目的:研究外阴白色病变组织中微循环状况,探讨外阴白色病变的发病机制。方法:对来医院就诊的均于阴道镜下病变明显处取活组织病理检查,证实为外阴白色病患者41例,采用免疫组织化学方法检测在41例外阴白色病变(其中鳞状上皮增生22例,硬化性苔藓19例)组织中CD34的表达情况,8例正常的外阴组织做对照。结果:外阴硬化性苔藓的微血管数目(MVD值)显著低于正常外阴组,差异有统计学意义(P<0.05),外阴鳞状上皮增生与正常外阴组织相比差异无统计学意义(P>0.05),且硬化性苔藓(LS组)与鳞状上皮增生(SH组)之间存在显著性差异,硬化性苔藓MVD值低于鳞状上皮增生。结论:外阴硬化性苔藓组织中微血管数目减少明显,鳞状上皮增生中血管数目无明显改变。Objective: To research the microcirculation status of white lesions of the vulva, and explore the pathogenesis. Methods: Forty - one patients with white lesions of the vulva were confirmed by biopsy and pathological examination under colposeope, then immuno- histoehemical method was used to detect the expressions of CD34 in vulval squamous epithelial hyperplasia group (22 cases) and lichen scle- rosis of vulva group (19 cases), 8 cases with normal vulval tissue were selected as control group. Results:Microvessel density (MVD) of li- chen sclerosis of vulva was statistically significantly lower than that in normal vulva group ( P 〈 0.05 ), there are no statistically significant difference in MVD between vulval squamous epithelial hyperplasia group and normal vulva group ( P 〉 0.05 ) , MVD of lichen sclerosis of vulva was statistically significantly lower than that in vulval squamous epithelial hyperplasia group. Conclusion: MVD in lichen sclerosis of vulva decreases significantly, while MVD in vulval squamous epithelial hyperplasia tissue doesnt change obviously.
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