200例宫颈上皮内瘤变临床结果分析

Clinical analysis of 200 cases of cervical intraepithelial neoplasia

目的探讨子宫颈上皮内瘤变(CIN)的好发年龄段。方法利用新柏氏液基薄层细胞学技术筛查子宫颈癌,诊断结果大于或等于不典型鳞状细胞为阳性病例,并经病理组织活检诊断为大于或等于子宫颈上皮内病变Ⅰ级(CIN1),按15年的间隔进行年龄分组比较。结果200例CIN病例的分布为:≤25岁组42例(21.0%),～40岁组122例(61.0%),～55岁组33例(16.5%),>55岁组3例(1.5%)。～40岁组的CIN构成比最高。结论～40岁是妇女CIN的好发年龄段,建议该年龄段有性经历的妇女应定期做宫颈癌的筛查。

Objective To investigate the most eommori age grades during which women are suseeptive to cervical intraepithelial neoplasia. Methods Thinprep cytology test （TCT） technology was applied to screening cervical cancer. The sample whose cell size was greater than or equal to that of atypical squamous cell was judged as positive ease. Cervical intraepithelial neoplasia （CIN） was definitely diagnosed by pathological examination. The patients were grouped by age grades. Results The morbidity distribution of different age grades in the 200 eases was as follows： the positive eases （%） in Gage 25 group, age 26-40 group and age 41-55 roup was 42 （21. 0%）, 122 （61.0%） and 33 （16.5%） respectively. There were 3 positive eases （1.5%） in ：〉 age 56 group. As a result, the constituent ratio was the highest in age 26-40 group. Conclusion The most common age grade is age 26-40 during which women are suseeptive to cervical intraepithelial neoplasia. Thus, it is suggested that women with sexual experiences should be checked for cervical cancer regularly.