激素避孕对子宫颈阴道镜检查充分性的影响。
The effect of hormonal contraception on the adequacy of colposcopic examination of the cervix.
作者信息
Milam Michael R, Pollock Jason W, Nick Alpa M, Scott Theresa, Jones Howard W
机构信息
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Vanderbilt University Medical Center, Nashville, Tenn 37232-2521, USA.
出版信息
Am J Obstet Gynecol. 2005 May;192(5):1368-9. doi: 10.1016/j.ajog.2005.01.003.
OBJECTIVE
This study was undertaken to determine whether the use of hormonal contraception affects the adequacy of colposcopic examination of the cervix.
STUDY DESIGN
A retrospective chart review of patients seen in the Vanderbilt University Medical Center Colposcopy Clinic from 2000-2002. Patient age, use of hormonal contraception, and adequacy of colposcopic examination were recorded for analysis.
RESULTS
Of all the colposcopic records reviewed, 526 of 1156 met inclusion criteria. Study patients ranged in age from 14 to 51 years. The prevalence of the visible squamocolumnar junction ranged from 75% to 91%. The multivariate logistic regression analysis showed that both age and use of hormonal contraception significantly influence adequacy of colposcopic examination (P < .001, P = .001, respectively).
CONCLUSION
The use of combination oral contraceptives is associated with an increased likelihood of adequate colposcopy.
目的
本研究旨在确定使用激素避孕法是否会影响宫颈阴道镜检查的充分性。
研究设计
对2000年至2002年在范德比尔特大学医学中心阴道镜诊所就诊的患者进行回顾性病历审查。记录患者年龄、激素避孕法的使用情况以及阴道镜检查的充分性，以便进行分析。
结果
在所有审查的阴道镜检查记录中，1156份中有526份符合纳入标准。研究患者年龄在14岁至51岁之间。可见鳞柱交界的发生率在75%至91%之间。多因素逻辑回归分析表明，年龄和激素避孕法的使用均显著影响阴道镜检查的充分性（P分别<0.001，P = 0.001）。
结论
使用复方口服避孕药与充分进行阴道镜检查的可能性增加有关。
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