Cervical cytology in an urban population in Lagos, Nigeria.
Cervical cytology in an urban population in Lagos, Nigeria.
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DOI：
10.1080/01443610310000100114
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发表时间：
2003-05-01
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影响因子：
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通讯作者：
Oyekan, Tinuola O
中科院分区：
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作者：
Anorlu, Rose I;Abdul-Kareem, Fatima B;Oyekan, Tinuola O
1998年9月至1999年8月31日期间，在尼日利亚的拉各斯的一家诊所连续对884名妇女进行了宫颈涂片检查。平均年龄为36.6 - 11.6岁（范围16-81岁）; 93.7%为首次筛选。325例（36.5%）涂片正常，炎性涂片52.7%，轻度核异常2.4%，中度核异常1.5%，重度核异常0.3%，可能恶性（恶性细胞）0.8%。有症状病例的涂片异常率高于无症状病例（χ 2 =15.3，P< 0.01）;有症状病例中分别有6.1%和2.1%的细胞核异常和癌，而无症状病例中分别有3.4%和0.1%。在性交后出血中，9.3%和1.9%分别有核异常和癌。62例宫颈糜烂中有五十六例涂片异常。在绝经后出血中，核异常和癌分别占13.0%和4.3%。患有生殖道疾病的妇女中，宫颈涂片异常的患病率很高。在没有全国性筛查方案的地方，应尽一切努力对这类妇女进行筛查。
Eight hundred and eighty-four consecutive women had cervical smears in a clinic in Lagos, Nigeria between September 1998 and 31 August 1999. Mean age was 36.6 - 11.6 years (range 16-81 years); 93.7% were first-time screening. Three hundred and twenty-five (36.5%) smears were normal, inflammatory smears 52.7%, mild dyskaryosis 2.4%, moderate dyskaryosis 1.5%, severe dyskaryosis 0.3% and probable malignancy (malignant cells) 0.8%. Abnormal smears were higher in symptomatic cases compared with asymptomatic cases (chi2=15.3, P< 0.01); 6.1% and 2.1% of symptomatic cases had dyskaryosis and carcinoma, respectively, compared with 3.4% and 0.1% for asymptomatic cases. In postcoital bleeding 9.3% and 1.9% had dyskaryosis and carcinoma, respectively. Fifty-six of 62 cases of cervical erosion had abnormal smears. In postmenopausal bleeding 13.0% and 4.3% had dyskaryosis and carcinoma, respectively. Prevalence of abnormal cervical smears is high in women who have genital tract disease. In places with no national screening programmes every effort should be made to screen such women.