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本文复习1978～1987年间我院宫颈组织切片257例,探讨了宫颈湿疣的病理形态学改变.按 Meisels 标准复查原切片,原诊断为慢性宫颈炎的82例中,17例有宫颈湿疣.原诊断为轻度非典型增生的97例中,湿疣41例,合并湿疣者11例.中度非典型增生22例中,有湿疣5例,合并湿疣者8例.重度非典型增生112例中,5例合并湿疣.原位癌26例中,17例伴有湿疣.9例早浸癌中,6例伴湿疣.原诊断为宫颈湿疣者10例,其中1例不符合湿疣诊断标准.宫颈湿疣主要为扁平型,余为内生型,总发病的构成比(包括单纯湿疣及非典型增生或癌伴湿疣)为42.41%.本文指出单纯依据上皮内有凹空细胞病变来诊断人乳头状瘤病毒感染是不够的,应结合其他病理特征,严格依照湿疣的病理标准确定诊断。
This article reviews from 1978 to 1987 in our hospital 257 cases of cervical tissue sections to explore the pathological changes of cervical condyloma. According to Meisels standard review of the original section, the original diagnosis of chronic cervicitis in 82 cases, 17 cases of cervical condyloma. Of the 97 cases with mild atypical hyperplasia, there were 41 cases of genital warts and 11 cases of condylomata, 22 cases of moderate atypical hyperplasia, 5 cases of genital warts and 8 cases of condylomata. Among the 112 cases with severe atypical hyperplasia, 5 Cases of condyloma acuminata.In 26 cases of carcinoma in situ with condyloma acuminatum.Of the 9 cases of early-stage carcinoma, 6 cases with condyloma.The original diagnosis of cervical condyloma in 10 cases, of which 1 case does not meet the diagnostic criteria of genital warts. For the flat type, the remaining endogenous type, the total incidence of constitutional ratio (including simple condyloma acuminata and atypical hyperplasia or cancer with condyloma) was 42.41% .This paper pointed out that simply based on the intraepithelial cytopathic empty cell to diagnose human papilloma virus Infection is not enough, should be combined with other pathological features, in strict accordance with the pathological criteria of genital warts to determine the diagnosis.