不同年龄段已婚妇女甲襞微循环及宫颈病变结果分析

Examination Analysis of Nailfold Microcirculation in Married Women of Different Ages

目的:观察不同年龄段已婚妇女甲襞微循环状况,并结合宫颈刮片和阴道镜检查结果,综合分析甲襞微循环在宫颈病变定性评估中的意义。方法:348例已婚妇女按年龄分为25～35岁,36～45岁和46～55岁三组,依次进行甲襞微循环形态、流态和袢周状态的检测积分,同时进行阴道镜检查和宫颈刮片检查。结果:甲襞微循环异常者主要集中在36～45岁年龄组,其积分值明显高于其它两个年龄组(P<0.05或P<0.01)。宫颈刮片细胞分类>Ⅱ级以及阴道镜检查结果异常者,也多出现于36～45岁年龄组,其异常率与其它两年龄组比较显著升高(P<0.01)。结论:存在明显宫颈病变妇女可发生甲襞微循环异常,在对宫颈病变定性评估中,甲襞微循环检测结果可以作为参考依据。

Objective:To observe the nailfold microcirculation situations in different age groups of married women,combined with the results of cervical scraping smears and colposcopy detection,then analyze the significance of the nailfold microcirculation situations in the qualitative assessment of cervical lesions.Method:348 married women were divided into three groups(25～35-year-old,36～45-year-old and 46～55-year-old),and nailfold microcirculation,colposcopy and cervical scraping smears were examined.Results:Abnormal results of nailfold microcirculation were mainly concentrated in the 36～45-year-old woman,compared with other two age groups,there were significant statistical difference.Most of the abnormal cases in cervical scraping smears(grade > II) as well as colposcopy detection were in the same age group too.The abnormal rate in the 36～45-year-old mvomen was higher than that in other two age groups(P<0.01).Conclusion:Abnormal morphological changes of nailfold microcirculation can be found in women with distinct cervical lesions.The results of nailfold microcirculation test can be used as a qualitative assessment in cervical lesions.