探析宫颈接触性出血的病因分布及TCT联合阴道镜检查的效果观察

To Explore the Observation Effect on Cause of Cervical Contact Bleeding Distribution and TCT Combine With Colposcope Examination

目的：研究宫颈接触性出血的病因分布及TCT联合阴道镜检查的效果。方法选取2014年1月～2015年1月于我卫生服务中心因宫颈接触性出血进行TCT联合阴道镜检查的患者60例作为研究组。选取同期前来就诊且无宫颈接触性出血的女性患者60例作为对照组，对所选患者的病理诊断进行回顾性分析。结果研究组与对照组阴道镜活检与TCT病理结果阳性的符合率比较，P＞0.05，差异不具有统计学方面的意义。结论对宫颈接触性出血患者应在常规妇科检查、阴道分泌物检查和液基薄层宫颈细胞学筛查后采取分流诊治，对液基薄层宫颈细胞学筛查结果呈阳性的患者和接触性出血情况反复发生的患者，应采取液基薄层宫颈细胞学筛查联合阴道镜检查的方式。

Objective To study the causes of cervical contact hemorrhages and TCT combine with colposcope examination. Methods Selected 60 cases with contact hemorrhages used TCT combined with coloposcopy from January 2014 to January 2015 in our health service centers as research group. Selected at the same time without cervical contact hemorrhages of female patients with 60 cases as control group, retrospective analysis pathologic diagnosis Results Compared with the research group and the control group of colposcopy biopsy and pathological results positive coincidence rate of TCT, P〉0.05,had difference statistically significance. Conclusion Patients with cervical contact hemorrhages should adopt shunt treatment after in gynecological examination, vaginal secretion test and liquid-based cervix cytology test, adopt iquid-based cervix cytology test combine with coloposcopy test for patients who are liquid-based cervix cytology test result is positive and the situation of contact bleeding over and over again.