Cervix Is ​​not Clear Diagnosis Of The Clinical Significance Of Atypical Squamous Cells Of Lesions Observed

ObjectiveThrough clinical investigation of 60 cases in ASCUS patients to see the connection of vaginal inflammation, HPV and ASCUS, to know the main types of TCM in ASCUS, providing reference for clinical medication.MethodsThe study was based on patients that had the main symptoms of vaginal secretions, which were diagnosed according ASCUS, and always TCT inspection results of normal. According to the patient's main symptoms, signs, and performed a gynecologic examination, according to western medicine diagnosis standard, they were diagnosed as colpomycosis, trichomonas vaginitis, bacterial vaginosis, atrophic vaginitis, and no obvious vaginal inflammation, To symptomatic treatment or observation for three months. Review TCT, according to the result of TCT, if the result is still ASCUS, and then inspect HPV. Taking patients' main symptoms, signs, according to the TCM syndrome to statistics. Statistical methods:This subject adopts SPASS 17.0 software, a chi-square test; P< 0.05 means statistical significance.The resultsThrough the observation of 60 patients, there were 23 cases in fungal vaginitis,10 cases in trichomonas vaginitis,8 cases atrophic vaginitis, 7 cases in bacterial vaginitis and 12 cases without vaginitis inflammation. After 3 months of treatment and observing, review TCT, that who had vaginal inflammation the result of TCT were normal, and there were still 9 cases patients of ASCUS who without vaginal inflammation, by HPV testing, were positive. By statistical analysis, the most of vaginal inflammation but atrophic vaginitis was not significantly associated with age (P> 0.05), atrophic vaginitis was associated with age (P<0.05), that lacking of estrogen in postmenopausal or ovarian neutered; the relationship between HPV and ASCUS had significant correlation (P< 0.05). On the TCM syndrome, there were 18 cases of downward flow of damp-heat,14 cases of the spleen deficiency with dampness-abundance,13 cases kidney deficiency with wetness,13 cases of damp-disease, the infection rates of the kinds of vaginitis inflammation was significant differences in four syndrome (P<0.05), that fungal and trichomonas shown in the syndrome of damp-heat and damp-disease, atrophic and bacterial was mainly in spleen and kidney deficiency. Conclusion1. The patients with ASCUS who had the main syndrome of vaginal secretions increased, about 80% because of.When vaginal inflammation was cured, ASCUS also disappeared.2. HPV was an important factor in ASCUS, that we should give more attention to screen on clinical work.3. The ASCUS that had the main syndrome of vaginal secretions increased can belong to leucorrhea disease in TCM, and the main syndrome was downward flow of damp-heat, the spleen deficiency with dampness-abundance, kidney deficiency with wetness, damp-disease. Fungal and trichomonas shown in the syndrome of damp-heat and damp-disease, atrophic and bacterial was mainly in spleen and kidney deficiency.