绝经后妇女宫颈癌临床分析

目的了解绝经后宫颈癌临床病理特点,探讨绝经后宫颈癌筛查的必要性。方法对96例宫颈癌临床资料进行回顾性分析,并以同期生育年龄宫颈癌226例作为对照。结果绝经组与未绝经组比较,绝经组阴道接触性出血较未绝经组发生率低(P<0.01),两组临床分期、淋巴结转移率、宫颈涂片细胞学检查阳性率及HPV检测阳性率无显著差异(P<0.05),绝经组宫颈腺癌发生率占5.2%,未绝经组占28.8%(65/226),两组中腺癌率发生率差异显著(P<0.01)。结论绝经后妇女宫颈癌发病期别通常较晚,绝经后宫颈病变筛查是必要的,定期妇科检查、宫颈涂片细胞学检查及高危型HPV检测可帮助绝经后妇女预防宫颈癌。

Clincal analysis of cervix cancer of postmenopausal women

Objective:To assess the necessity of cervical cancer screening according to the performace of cervical cancer in postmenopausal wemen. Methods: The clinical information of 96 cases of the cervical cancer was analysed retrospectively.Results: The incidence of postcoital vaginal bleeding was lower in the postmemoposal wemen than that in the premenopausal wemen.The stages,the incidences of pelvic lymph nodes metastasis,the results of the Pap smear cytology tests and HPV tests were not significantly different between the two groups.The incidence of cervical adeocarcinoma was lower in the postmenpausl wemen than that in the premenoposal wemen.Conclusion: The cervical cancer screening is necessary for the prevention of the development of cervical cancer in postmenopausl wemen.