Lawley T B, Lee R B, Kapela R
Department of Obstetrics and Gynecology, University of Washington, Tacoma General Hospital.
Obstet Gynecol. 1990 Dec;76(6):997-9.
The significance of a cytologic diagnosis of moderate and severe inflammation with a normal (class I) Papanicolaou smear has not been addressed. A retrospective review of 596 consecutive cervical smears performed over 13 months revealed 85 women who had a class I cytologic smear with moderate to severe inflammation. Seventy-eight patients had colposcopic examinations and were considered for this study. Fifty-nine (75.6%) had cervical punch biopsies and/or endocervical biopsies. Of the 78, 19 (24.4%) had cervical condylomata and nine (11.5%) had cervical intraepithelial neoplasia. We conclude that class I cytologic smears with moderate to severe inflammation may be associated with findings of condylomata and cervical dysplasia.
巴氏涂片为正常（I 级）但细胞学诊断为中度和重度炎症的意义尚未得到探讨。对 13 个月内连续进行的 596 例宫颈涂片进行回顾性分析，发现 85 名女性巴氏涂片为 I 级且伴有中度至重度炎症。78 例患者接受了阴道镜检查并纳入本研究。59 例（75.6%）进行了宫颈活检和/或宫颈管内膜活检。在这 78 例患者中，19 例（24.4%）有宫颈湿疣，9 例（11.5%）有宫颈上皮内瘤变。我们得出结论，巴氏涂片为 I 级且伴有中度至重度炎症可能与湿疣和宫颈发育异常的发现有关。
