3179例宫颈息肉样病变临床病理分析

Clinicopathological study of 3 179 cases with cervical polypoid lesions

目的：了解宫颈息肉样病变的病理类型。方法：对3179例宫颈息肉样病变进行临床病理分析，按病理组织学形态特点进行分类。结果：98．99％病例为宫颈息肉，其中腺性息肉32．73％、单纯型30．79％、纤维肉芽组织型27．2％、血管瘤样型6．51％、淋巴组织增生型2．51％、微腺管型0．25％。本组另一类为肿瘤性病变，仅占1．01％，多为恶性肿瘤。结论：在诊断宫颈息肉时要注意与息肉样改变的真性肿瘤鉴别，还要考虑到部分类型的宫颈息肉的潜在恶性。

Purpose To discuss the pathological type of cervical polypoid lesions. Methods 3 179 caseswith cervical polypoid lesions were taken histopathology analysis. Results Most of them were cervical polyp(98. 99 % ). According to histopathological classification, they can be divided into adenomoid type (32. 73 % ),common type (30. 79 % ), flbro-granulation tissue (27. 2 % ) ) hemangiomoid type (6. 51 % ), hyperplasia oflymphoid tissue (2. 15 % ), mlcroadenomoid type (0. 25 % ). Conclusion it is suggest that pathologlsts shouldpay attention to differentiate polyp--like tumor from cervical polyps. It's more suitable to call cervical polypoid le-sion when it is difficult to distinguish.