结肠镜变化在吸烟者中更常见,并且在较年轻时出现
Diego Erasun Mora1, Ana Vázquez Del Campo2, Alazne DE Castro Momioto2
1Hospital Universitario Marqués de Valdecilla/IDIVAL, Santander, Spain; Diego.erasun@scsalud.es.
吸烟与患有高风险人类乳头瘤病毒 (HR-HPV) 的女性中更严重的结肠镜和组织病理学发现有关. 这些负面影响即使在轻度吸烟和年轻时也会被观察到.
科学领域:
- 妇科 妇科医生 妇科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 高危人乳头瘤病毒 (HR-HPV) 是导致子宫癌的主要原因.
- 烟草使用是已知的危险因素,加剧了HR-HPV相关的宫异常.
研究的目的:
- 调查烟草使用对镜检查结果的具体影响.
- 评估吸烟和宫癌前体严重性之间的关联在HR-HPV阳性女性中.
主要方法:
- 分析了819名HR-HPV阳性的女性,她们接受了镜检查和循环电外科切除手术 (LLETZ).
- 在320名吸烟者和499名非吸烟者中,对结肠镜和组织病理学的结局进行了比较.
主要成果:
- 吸烟者呈现出更频繁的II级大肠镜变化和更糟糕的组织病理结果 (CIN2+,CIN3+).
- 吸烟者更年轻,在两年后的随访中显示出更差的结果趋势.
- 在吸烟者中观察到更高的受影响外科手术边缘率.
结论:
- 任何水平的烟草消费都与不良的结肠镜和组织病理学发现有关.
- 吸烟对HR-HPV阳性女性的宫健康结果产生负面影响,特别是在年轻时.
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