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目的探讨引起接触性阴道出血病因分析与临床防治。方法对本院2007年1月至2008年12月住院收治的排除宫腔出血外接触性阴道出血患者的临床资料进行回顾性分析。结果妇科检查情况病因构成:中重度宫颈糜烂64例、宫颈息肉38例、阴道炎占36例、宫颈癌12例,尖锐湿疣10例;宫颈涂片宫颈移行带巴氏Ⅰ级45例、Ⅱ级65例、Ⅲ级30例,Ⅳ级14例、Ⅴ级4例;部分宫颈活检情况22例宫颈外观光滑中有鳞状上皮细胞轻度不典型增生(CINⅠ)6例、中度不典型增生(CINⅡ)3例、重度不典型增生(CINⅢ)2例;64例宫颈糜烂者轻度不典型增生24例、中度不典型增生10例、重度不典型增生9例、发现有癌细胞8例。结论引起接触性阴道出血病因复杂,大多良性病,但部分是宫颈癌所致且其早期症状不典型,对于接触性阴道出血患者,须作详细检查明确诊断,根据各自特点进行防治。
Objective To investigate the cause of contact vaginal bleeding and clinical prevention and treatment. Methods The clinical data of patients with vaginal bleeding from uterine bleeding who were hospitalized from January 2007 to December 2008 in our hospital were analyzed retrospectively. Results Gynecological examination etiology: 64 cases of moderate and severe cervical erosion, 38 cases of cervical polyps, 36 cases of vaginitis, cervical cancer in 12 cases, 10 cases of genital warts; Cervical smears Cervical transitional zone Papanicolles I 45 cases, Ⅱ grade 65 cases, Ⅲ grade 30 cases, Ⅳ grade 14 cases, Ⅴ grade 4 cases; partial cervical biopsy 22 cases of cervical smooth appearance squamous cell mild dysplasia (CIN Ⅰ) in 6 cases, moderate dysplasia CINⅡ), 2 cases of severe atypical hyperplasia (CINⅢ), 64 cases of mild cervical dysplasia with atypical hyperplasia (24 cases), moderate dysplasia (10 cases) and severe atypical hyperplasia (9 cases). There were 8 cases of cancerous cells. Conclusions The causes of contact vaginal bleeding are complex and mostly benign. However, some of them are caused by cervical cancer and their early symptoms are not typical. For patients with contact vaginal bleeding, detailed examination should be made to confirm the diagnosis and control according to their own characteristics.