在18至29岁女性的宫癌查中,年龄是决定性的吗? :一个观察性研究研究
Ayça K Küçükyurt1, Nil Atakul1, Selma Atiye Kolcu1
1Department of Obstetrics and Gynecology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Medicine
|June 17, 2025
概括
查宫癌的年轻女性 (18-25岁) 与老年女性相比,出现高度宫内皮质瘤 (CIN 3) 的比率更高 (26-29). 年龄是诊断CIN病变的关键因素.
科学领域:
- 妇科 妇科医生 妇科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 宫癌查对于早期发现和预防至关重要.
- 了解宫异常的年龄相关趋势对于优化查方案至关重要.
研究的目的:
- 分析年龄对18-29岁女性宫癌查结果的影响.
- 为了比较年轻 (18-25岁) 和年长 (26-29岁) 年龄组之间的异常组织学结果和宫内皮质新生病变 (CIN) 的发生率.
主要方法:
- 在2014-2024年间,对842名18-29岁的妇女进行了宫癌查 (巴氏涂片检查,肠镜检查,化) 的回顾性分析.
- 患者被分为两个年龄组:18-25岁和26-29岁进行比较分析.
- 对细胞学,HPV检测,结肠镜检查和化结果的审查.
主要成果:
- 在整体队列中,高度状内皮损伤 (HSIL) 和非典型腺细胞 (AGC) 的发病率较高.
- 结肠镜检查显示38/53名女性的CIN (+) 病变,并确认了23/53名女性的CIN (+) 病变.
- 与26-29岁女性相比,年龄在18-25岁的女性患CIN 3诊断的可能性更高.
结论:
- 年龄是诊断宫内皮质新生病 (CIN) (+) 病变的一个重要因素.
- 年轻女性 (18-25岁) 患高度CIN病变的风险更高,需要量身定制的查和管理方法.
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