接触性阴道出血的病因分析及与宫颈病变的关系  

RELATIONSHIP BETWEEN ETIOLOGY OF CONTACT VAGINAL BLEEDING AND CERVICAL LESIONS

作　　者：李巧云[1] 刘秀荣[1] 李桂荣[1] 冯玉珍[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国煤炭工业医学杂志》2015年第4期539-541,共3页Chinese Journal of Coal Industry Medicine

基　　金：唐山市科学技术研究与发展计划项目(编号:13130237a)

摘　　要：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 study the correlation between etiology of vaginal contact bleeding and cervical le-sions by an etiological analysis.Methods A total of 150 cases of women who achieved treatment from Oc-tober 2012 to October 2014 in author＆#39;s hospital were selected as the research subjects,they were given the gynecological examination and routine cytologic examination.Results In these subjects,the gynecological examination results showed that cervical erosion （62.67%）proportion was obvious higher than that of oth-er examination results such as cervical polyp （19.33%）,vaginitis （7.33%）,condyloma acuminatum （3.33%）,cervical cancer （2.67%）.Papanicolaou grade Ⅱ accounted for the proportion of （61.33%）was obviously higher than the PAP Ⅰ grade （29.33%）,Ⅲ （5.33%）,Ⅳ（2.67%）and Ⅴ （1.33%）.Ⅲ ~ Ⅴlevel colposcopy biopsy results in patients with cervical intraepithelial neoplasia grade I （35.71%）was sig-nificantly higher than that of primary cervical cancer （14.29%）, cervical squamous cell carcinoma （7.14%）,adenocarcinoma （7.14%）and cervical intraepithelial neoplasia grade Ⅱ （21.43%）and grade Ⅲ（14.29%）,with statistical significance （P 〈0.05）.Conclusion Etiology of contact bleeding is complex, the majority of the inspection results are benign,but some of them are early symptoms of cervical cancer patients.The incidence of cervical cancer can be reduced according to recommend early check contact bleed-ing and avoid the cervical lesions.

关 键 词：接触性阴道出血 病因 宫颈病变 

分 类 号：R711.4[医药卫生—妇产科学]