标题：子宫颈糜烂与子宫颈癌发病率的相关性研究

      作者：黄妙云，唐 洪，谭 毅
    （广西壮族自治区桂东人民医院妇产科，广西 梧州 543001）

      卷次： 2014年25卷3期

      【摘要】 目的 探讨子宫颈糜烂与子宫颈癌发病率的相关性，为早期预防与干预提供参考。方法 选择广
西壮族自治区桂东人民医院 2012年 3月至 2013年 3月 660例妇科门诊子宫颈糜烂女性作为研究组，同时选择
300名宫颈光滑的健康体检者作为对照组，均进行子宫颈液基细胞检查，观察两组CINⅠ、CINⅡ、CINⅢ及宫颈
癌的发生率。结果 宫颈液基细胞学检查(TCT)结果显示，研究组阳性 96例，阳性率为 14.55%；对照组阳性 38
例，阳性率为12.67%；两组阳性率及各分组(CINⅠ、CINⅡ、CINⅢ及宫颈癌)之间差异无统计学意义(P>0.05)。进
一步行阴道镜检查，研究组宫颈癌前病变 49例，占阳性总数的 51.04%，宫颈癌变 3例，占阳性总数的 3.13%；对
照组宫颈癌前病变 20例，占阳性总数的 52.63%，宫颈癌变 1例，占阳性总数的 2.63%；两组比较差异均无统计
学意义(P>0.05)。结论 子宫颈糜烂与子宫颈癌发病率无明显的相关性。

      【关键词】 女性；子宫颈糜烂；子宫颈癌；发病率；相关性

      【中图分类号】 R711.32 【文献标识码】 A 【文章编号】 1003—6350（2014）03—0341—03


Correlation study of cervical erosion and the incidence of cervical cancer.
HUANG Miao-yun, TANG Hong, TAN
Yi. Department of Obstetrics and Gynecology, Guidong People's Hospital of Guangxi Zhuang Autonomous Region, Wuzhou
543001, Guangxi, CHINA

【Abstract】 Objective To explore the correlation between cervical erosion and the incidence of cervical can-
cer, and to provide reference for early prevention and intervention. Methods A total of 660 patients with cervical ero-
sion from Guidong People's Hospital of Guangxi Zhuang Autonomous Region from March 2012 to March 2013 were
selected as the study group, and 300 healthy people with cervical smooth at the same time were enrolled as the control
group. All patients were checked the cervical liquid based cytology. The incidence of CINⅠ, CINⅡ, CINⅢ and cer-
vical cancer of the two groups were observed. Results According to results of the thinprep cervical liquid based cy-
tology test (TCT), 96 cases in the study group were positive (with the positive rate of 14.55%) and 38 cases in the con-
trol group were positive (with the positive rate of 12.67%). The positive rates of the two groups and the incidence of
CIN Ⅰ, CINⅡ, CIN Ⅲ and cervical cancer between each group had no significant differences (P>0.05). According to
further colposcope examination, 49 patients in the study group were cervical precancerous lesions, accounting for
51.04% of the total positive cases, 3 patients were cervical cancer, accounting for 3.13% of the total positive cases. Twen-
ty patients in the control group were cervical precancerous lesions, accounting for 52.63% of the total positive cases, 1
patient was cervical cancer, accounting for 2.63% of the total positive cases. The two groups showed no significant differ-
ences (P>0.05). Conclusion There is no correlation between cervical erosion and the incidence of cervical cancer.