Clinical Analysis Of 334 Cases In Young Women With Cervical Lesions

Objective:To summarize the incidence trends,age distribution,clinical features,cervical screening and treatment options of cervical lesions in young women,and to explore the high risk factors of pathogenesis and cancer,for early detection of cervical lesions,standardized cervical screening,individualized treatment.Provide a clinical basis for maintaining reproductive health and successfully retaining fertility.Method:To analyze the patients retrospectively admitted to our hospital from July 2015 to June 2018 due to cervical lesions and supported by pathological diagnosis,including334 young women and 819 middle-aged and elderly women.In this paper,the clinical data of 334 young women with morbidity,age distribution,clinical features,cervical screening and treatment methods were compared with those of middle-aged and elderly women.Results:1?The total number of young women with cervical lesions has increased year by year,and the proportion of HSIL in cervical lesions has increased year by year.2?The age of young women with cervical lesions is between 19 and 35 years old,with an average age of 30.89±3.22 years.The age of cervical lesions in middle-aged and elderly women is between 36 and 77 years old,and the age of high incidence is41-50 years old.3?The incidence rate of cervical lesions in young women who were not born was significantly higher than that of middle-aged and elderly women who were not born,P<0.05.4?The main contraceptive methods for young women with cervical lesions are intrauterine devices,oral contraceptives and condoms.The main contraceptive methods for middle-aged and elderly women are intrauterine devices and surgical birth control,P<0.05.The proportion of rural population in young women with cervical lesions was higher than that in middle-aged and elderly women,P<0.05.5 ? Cervical lesions in young women usually have no special clinical manifestations,more than those found during physical examination.Contact bleeding is more common in young women with cervical cancer.Middle-aged and elderly women with irregular vaginal bleeding are the most important clinical symptoms..6? Regarding cervical screening,the positive detection rates of HPV in young women were higher than those in middle-aged and elderly women,P<0.05.7?The treatment of young women with HSIL is mainly LEEP and CKC.The treatment of middle-aged and elderly women with HSIL is mainly CKC and hysterectomy,P<0.05.The treatment plan for young women with cervical cancer is a combination of surgery-based and chemoradiotherapy.Young women choose to preserve the ovaries during surgery to reduce the symptoms of postoperative estrogen deficiency,P<0.05.Conclusion:1?The incidence of cervical lesions in young women is increasing year by year and tends to be younger.2 ? Cervical lesions in young women who were not born also have a high incidence,which is a potential risk affecting the reproductive health of young women who were not born.3?Cervical lesions in young women often have no special clinical manifestations,usually found in cervical HPV,TCT,and colposcopy screening,indicating that cervical screening in young women can not be ignored.4?Young women with high-grade squamous intraepithelial lesion(HSIL)aremainly treated with LEEP and CKC to preserve fertility;young women with cervical cancer are treated with radical surgery to preserve ovarian function.