McLennan M T, McLennan C E
Acta Cytol. 1975 Sep-Oct;19(5):431-3.
Maturation indices were determined for 1,000 vaginal smears from women three weeks to nine months postpartum. Atrophic smears predominated three to six weeks after delivery in women who were lactating, but only one-third of the non-lactators had an atrophic pattern during those weeks. There was a progressive increase in the incidence of estrogenic patterns observed beyond the sixth postpartum week, irrespective of the persistence of lactation. The incidence of mixed patterns (equal numbers of parabasal, intermediate and superficial cells) was remarkedly constant (about 5 per cent) regardless of lactation or time beyond delivery. This study confirms the traditional view of hormonally related puerperal vaginal cytologic patterns, and is at variance with recent claims that vaginal atrophy is unusual in the puerperium.
对1000份产后3周9个月女性的阴道涂片进行成熟指数测定。在哺乳期女性中，产后3至6周萎缩性涂片占主导，但在这几周内，只有三分之一的非哺乳期女性有萎缩性涂片模式。产后第6周以后，无论哺乳期是否持续，雌激素模式的发生率都在逐渐增加。混合模式（基底旁细胞、中层细胞和表层细胞数量相等）的发生率无论在哺乳期与否或产后时间如何，都显著恒定（约5%）。本研究证实了与激素相关的产褥期阴道细胞学模式的传统观点，与最近声称产褥期阴道萎缩不常见的说法不一致。
