Pairwuti S
Department of Obstetrics & Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1990 Nov;73(11):610-4.
A total of 846 Pap smears in women post-treated for genital organ diseases by operation and radiation (1.7% of all those made) at the Cytological Unit, Department of Obstetrics & Gynaecology, Faculty of Medicine, Siriraj Hospital between April 4, 1983 and July 4, 1984, were examined. The women were aged 21-75 years (mean age 43.1 +/- 9.7 years). Sixty-seven point two per cent of the women had Wertheim operations and 30.1 per cent total abdominal hysterectomies, due to invasive carcinoma (68.1% of cases) and carcinoma in situ of the uterine cervix (15.2%). Cytological findings revealed 72.8 per cent normal smears, 26.0 per cent infections (17.7% with mixed bacteria), one case of carcinoma in situ and one case of postirradiation dysplasia (both cases were post Wertheim operation). Hormonal conditions were 53.2 per cent in early menopause, 11.7 per cent in crowded menopause, 11.9 per cent in late menopause and 23.2 per cent had no hormonal evaluation. Pap smears of women post-treated for genital organ diseases by operation and radiation were examined for consideration of treatment of choice.
1983年4月4日至1984年7月4日期间，在诗里拉吉医院医学院妇产科细胞学室，对846例因生殖器疾病接受手术和放疗治疗后的女性巴氏涂片（占所有涂片的1.7%）进行了检查。这些女性年龄在21至75岁之间（平均年龄43.1±9.7岁）。67.2%的女性接受了韦特海姆手术，30.1%接受了全腹子宫切除术，病因是浸润性癌（占病例的68.1%）和子宫颈原位癌（15.2%）。细胞学检查结果显示，72.8%的涂片正常，26.0%有感染（17.7%为混合细菌感染），1例原位癌和1例放疗后发育异常（两例均为韦特海姆手术后）。激素状况为：53.2%处于早绝经，11.7%处于围绝经期，11.9%处于晚绝经，23.2%未进行激素评估。对因生殖器疾病接受手术和放疗治疗后的女性巴氏涂片进行检查，以考虑选择治疗方案。
