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目的通过对有接触性阴道出血妇女及宫颈细胞学结果分析,探讨接触性阴道出血与宫颈病变的关系。方法选择江苏省已婚妇女宫颈癌筛查中587例,分为出血组和无出血组,通过问卷调查、妇科检查和宫颈细胞学检查。结果出血组有阴道分泌物异常188例(32.03%),宫颈糜烂147例(25.04%),宫颈息肉102例(17.38%),尖锐湿疣5例(0.85%);细胞学检查≥ASCUS病变者51例(8.69%),其中ASCUS 19例(3.24%),ASCH 7例(1.19%),LSIL 14例(2.39%),HSIL 11例(1.87%)。无出血组妇检结果异常248例(44.1%)。细胞学检查≥ASCUS病变者12例(2.14%),其中ASCUS 5例(0.89%),ASCH 0例(0.00%),LSIL 6例(1.07%),HSIL 1例(0.18%)。两组细胞学检查结果≥ASCUS病例有显著性差异(P<0.05)。结论有接触性阴道出血妇女宫颈细胞学检查结果≥ASCUS病例的检出率高于无出血组。
Objective To investigate the relationship between cervical vaginal bleeding and vaginal bleeding caused by contact vaginal bleeding in women and cervical cytology. Methods 587 cases of cervical cancer screening of married women in Jiangsu Province were divided into hemorrhagic group and non-hemorrhagic group by questionnaire, gynecological examination and cervical cytology. Results There were 188 cases (32.03%) of vaginal discharge, 147 cases of cervical erosion (25.04%), 102 cases of cervical polyps (17.38%) and 5 cases of condyloma acuminatum (0.85%). The cytological examination ≥ASCUS lesions 51 Among them, ASCUS was found in 19 cases (3.24%), ASCH in 7 cases (1.19%), LSIL in 14 cases (2.39%) and HSIL in 11 cases (1.87%). 248 cases (44.1%) had abnormal result of non-bleeding test. There were 12 cases (2.14%) with cytological examination ≥ASCUS lesions, including ASCUS 5 cases (0.89%), ASCH 0 cases (0.00%), LSIL 6 cases (1.07%) and HSIL 1 case (0.18%). There was a significant difference between the two groups of cytology results ≥ASCUS cases (P <0.05). Conclusion The detection rate of cervical cytology ≥ASCUS in women with contact vaginal bleeding is higher than that in non-bleeding group.