宫颈糜烂与鳞状上皮异型增生的关系

• 作 者: 石宇 李连宏 孙雷 胡娜 周春晖 宋波 郭玉芬
• 机 构: 大连医科大学中日临床病理中心,武警大连医院手术室
• 出 处: 大连医科大学学报
• 发表日期: 1998年04期
• 关键词: 宫颈糜烂 异型增生 浸润癌 普查范围 雌激素分泌 细胞学诊断 癌前病变 妇科门诊病人 炎症程度 平行关系

统计了临床诊断为宫颈糜烂（ＣＥ）的病例共３０８６例，其中轻、中、重度者各为１１４７、１４４０、４９９例。在轻度ＣＥ中有５８例为轻度ＳＥＤ（占５０６％），中度ＳＥＤ８例（占０７０％），１例浸润癌；中度ＣＥ中，轻度ＳＥＤ１１例（占２２０％），中度ＳＥＤ１例（占０２９％）。发现只在轻度ＣＥ与重度ＣＥ组中的ＳＥＤ发生率之间差异显著，表明ＳＥＤ程度与炎症程度加重不一定是平行关系。因此支持普查范围不应只局限于ＣＥ患者，而应扩大为所有２５岁至４９岁之间，雌激素分泌旺盛，维持有性生活的妇女这一观点

Statistics of the clinical diagnosis of cervical erosion (CE) of a total of 3086 cases, of which mild, moderate and severe were 1147,1440,499 cases. In mild CE, 58 cases were mild SED (506%), moderate SED was 8 cases (070%) and 1 case was invasive carcinoma. In moderate CE, 11 cases were mild SED 20%), moderate SED1 cases (0  29%). Significant differences were found only in the incidence of SED between mild and severe CE, indicating that the degree of SED is not necessarily parallel to the degree of inflammation. Therefore, the supportive census should not be restricted to patients with CE but should be extended to all women between the ages of 25 and 49 who have strong estrogen secretion and have a sexual life