Goldacre M J, Loudon N, Watt B, Grant G, Loudon J D, McPherson K, Vessey M P
Br Med J. 1978 Mar 25;1(6115):748-50. doi: 10.1136/bmj.1.6115.748.
Women attending a family planning clinic were studied to determine the relation between cervical erosion and clinical and social characteristics. The appearance of the cervix was recorded without knowledge of the women's symptoms. The prevalence of erosion increased with parity but, when the effects of other factors were controlled, decreased in women aged 35 and over. Erosion was significantly more common in women taking the "pill" and less common in women using barrier methods of contraception than in others. There was considerable variation between doctors in the reporting of erosion. No association was found between erosion and postcoital bleeding, dyspareunia, backache, or dysuria. There was a significant but modest association between erosion and vaginal discharge and a suggestion that erosion may sometimes be associated with nocturia and frequency of micturition. Vaginal flora was similar in women with and without erosion. Cervical erosion should not be regarded as pathological in asymptomatic women, nor should it be assumed necessarily to be the cause of symptoms in women with genitourinary complaints.
对前往计划生育诊所的女性进行了研究，以确定宫颈糜烂与临床及社会特征之间的关系。在不了解女性症状的情况下记录宫颈外观。糜烂的患病率随产次增加而升高，但在控制其他因素的影响后，35岁及以上女性的糜烂患病率下降。服用“避孕药”的女性中糜烂明显更常见，而使用屏障避孕方法的女性中糜烂比其他女性更少见。医生在糜烂报告方面存在相当大的差异。未发现糜烂与性交后出血、性交困难、背痛或排尿困难之间存在关联。糜烂与白带之间存在显著但适度的关联，并且有迹象表明糜烂有时可能与夜尿症和尿频有关。有糜烂和无糜烂的女性阴道菌群相似。对于无症状女性，宫颈糜烂不应被视为病理性的，对于有泌尿生殖系统症状的女性，也不应必然假定糜烂是症状的原因。
