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一百多年前,子宫颈糜烂被描述为因炎症导致宫颈表层上皮脱失的一种宫颈形态。近现代观为:子宫颈糜烂是指位于宫颈外口的原始柱状上皮或早-中期的化生上皮,因雌激素影响,宫颈管内柱状上皮延伸至宫颈管外口,形成临床所见宫颈异位或外翻的典型外观。子宫颈糜烂曾被视作宫颈浸润癌的高危因素。现公认高致癌型人乳头瘤病毒(human papilloma virus,HPV)感染是发生宫颈浸润癌的核心因素。子宫颈糜烂与子宫颈癌的发生无关,对其治疗属过度医疗行为,应予以制止。
More than 100 years ago, cervical erosion was described as a cervical form of cervical epithelial dysplasia due to inflammation. The modern concept is: Cervical erosion refers to the original columnar epithelium or early metaphase metaplastic epithelium located outside the cervix. Due to the effect of estrogen, the columnar epithelium in the cervical canal extends to the external orifice of the cervical canal, forming a clinically seen cervical ectopic Or eversion of the typical appearance. Cervical erosion has been considered as risk factors for invasive cervical cancer. It is recognized that human papilloma virus (HPV) infection is a core factor in the development of cervical invasive carcinoma. Cervical erosion has nothing to do with the occurrence of cervical cancer, its treatment is an excessive medical behavior, should be stopped.