Domanowska Ewa, Marszałek Andrzej
Katedra i Zakład Patomorfologii Klinicznej, Collegium Medium Uniwersytet, Mikołaja Kopernika w Bydgoszczy.
Przegl Lek. 2007;64(10):706-9.
Cardio-vascular diseases as well as neoplasms (especially upper respiratory cancer and lung cancer) the most commonly mentioned consequences of tobacco smoking. But among tobacco-related diseases there are several other conditions including cervical cancer. In the present study we included 1166 females who underwent gynecological cytology examination at Obstetrical and Gynecological Office in University Hospital in Bydgoszcz from January till June 2007. All samples were stained according to Papanicolaou procedure and evaluated according to Bethesda classification. We analyzed also information regarding smoking habit which should be included in patients' form. In our studies we found that in 67% of cases physicians did not indicate patients' smoking status. According to patients records we received only 3% were smokers while 30% were non-smokers. In cytological smears from smokers we found about 3 times higher incidence of high grade lesions comparing with non-smokers (6% vs. 1.7%). However, atrophic and inflammatory changes were more often fund among non-smokers (30% vs. 18%). In conclusion, we can state, that in almost 70% of studied cases smoking habit information was ignored by clinicians. Lesions with high risk of cervical cancer were found more commonly in smoking patients.
心血管疾病以及肿瘤（尤其是上呼吸道癌和肺癌）是吸烟最常被提及的后果。但在与烟草相关的疾病中，还有其他几种病症，包括宫颈癌。在本研究中，我们纳入了2007年1月至6月期间在比得哥什大学医院妇产科接受妇科细胞学检查的1166名女性。所有样本均按照巴氏染色法进行染色，并根据贝塞斯达分类法进行评估。我们还分析了患者表格中应包含的吸烟习惯信息。在我们的研究中，我们发现67%的病例中医生未注明患者的吸烟状况。根据患者记录，我们得知只有3%为吸烟者，而30%为非吸烟者。在吸烟者的细胞学涂片检查中，我们发现高级别病变的发生率比非吸烟者高出约3倍（6%对1.7%）。然而，萎缩性和炎性改变在非吸烟者中更为常见（30%对18%）。总之，我们可以说，在近70%的研究病例中，临床医生忽略了吸烟习惯信息。宫颈癌高风险病变在吸烟患者中更为常见。
