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[子宫颈发育异常和癌前病变患者乳头瘤病毒感染与潜伏性高催乳素血症的关联]

[Association of papillomavirus infection and latent hyperprolactinemia in patients with dysplasia and preinvasive cancer of the cervix uteri].

作者信息

Vishnevskiĭ A S, Strukov E L, Novik V I, Bokhman Ia V, Pozharisskiĭ K M, Safronnikova N R, Golovina L I, Kashina N O, Suleĭmanova N Zh

出版信息

Vopr Onkol. 1994;40(1-3):53-9.

PMID:7701794
Abstract

Gynecological screenings carried out in I, 247 females and supplemented by cytological examination of ectoendocervical mucosa smears established significantly higher rates of detection of cytological signs of papillomavirus infection (PVI), regardless of age, in cases of background pathologies of the uterine cervix (10.0%) than in females without detectable pathology of the ectocervix (3.6%). Females of reproductive age revealed a significantly higher frequency of PVI-associated dysplasia and preinvasive carcinoma (4.2%) than in pre- and postmenopausal women (2.8%). In 24 patients with a combination of dysplasia, cervical flat condylomas and PVI signs, thyroliberin load served to identify higher levels of latent prolactin production as compared to healthy controls, the basal concentrations of blood prolactin being identical. Electrosurgical conization of the cervix was performed in 98 cases of cervical dysplasia. Morphological examination of resected tissue confirmed the relationship between PVI infection and degree of dysplasia in cervical epithelium.

摘要

对247名女性进行了妇科筛查,并辅以宫颈内外膜涂片的细胞学检查,结果显示,无论年龄大小,在宫颈存在背景病变的情况下(10.0%),人乳头瘤病毒感染(PVI)细胞学体征的检出率显著高于宫颈外口无可检测病变的女性(3.6%)。育龄女性中PVI相关发育异常和浸润前癌的发生率(4.2%)显著高于绝经前和绝经后女性(2.8%)。在24例同时患有发育异常、宫颈扁平湿疣和PVI体征的患者中,与健康对照相比,促甲状腺素负荷试验显示潜在催乳素分泌水平更高,而血催乳素基础浓度相同。对98例宫颈发育异常患者实施了宫颈电切术。对切除组织的形态学检查证实了PVI感染与宫颈上皮发育异常程度之间的关联。

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