宫颈糜烂程度与宫颈病变的关系初探

The relationship between cervical erosion and cervical lesions

目的探讨宫颈糜烂程度与宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)及宫颈癌的关系。方法随机抽取就诊于我院妇产科门诊的600名患者为研究对象,设宫颈光滑组、轻度糜烂组、中度糜烂组和重度糜烂组4组,比较各组CIN和宫颈癌的疾病构成比。结果各组无病变、CINⅠ、CINⅡ、CINⅢ及宫颈癌的疾病构成比分别为:宫颈光滑组92.57%、3.38%、2.02%、2.15%和0.67%;轻度糜烂组92.10%、3.29%、1.97%、2.63%和0.66%;中度糜烂组90.85%、3.92%、1.96%、2.61%、0.65%;重度糜烂组91.84%、3.40%、2.04%、2.72%和0.68%。各组之间的疾病构成比比较,差异无统计学意义。结论宫颈糜烂程度与宫颈病变之间无直接相关性,不应该将宫颈糜烂作为宫颈病变的高危因素。对光滑的宫颈更应警惕宫颈病变的发生。

Objective To study the relationship between cervical erosion and cervical intraepithelial neoplasia（CIN） and cervical cancer（CC）.Methods 600 patients were divided into 4 groups,including non-erosion group,mild erosion group,moderate erosion group and severe erosion group.Constituent ratios of CIN and cervical cancer were compared.Results The constituent ratios of no lesions,CINⅠ,CINⅡ,CINⅢ and cervical cancer were 92.57%,3.38%,2.02%,2.15% and 0.67% in non-erosion group;92.10%,3.29%,1.97%,2.63% and 0.66% in mild erosion group;90.85%,3.92%,1.96%,2.61% and 0.65% in moderate erosion group;91.84%,3.40%,2.04%,2.72% and 0.68% in severe erosion group.The different constituent ratios of CIN and cervical cancer among the four groups were not statistically significant（P0.05）.Conclusion Cervical erosion is not correlated with cervical lesions,which not be regarded as a risk factor of cervical lesion.