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首页> 外文期刊>Journal de gyne?cologie, obste?trique et biologie de la reproduction. >Pratique du frottis cervico-utérin dans une population épidémiologiquement exposée: Idées re?ues, faits et arguments [Cervical papsmear in an epidemiologically exposed population: Ideas, facts and arguments]
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Pratique du frottis cervico-utérin dans une population épidémiologiquement exposée: Idées re?ues, faits et arguments [Cervical papsmear in an epidemiologically exposed population: Ideas, facts and arguments]

机译：流行病学暴露人群的子宫颈抹片：观念，事实和论点[流行病学暴露人群的子宫颈抹片：观念，事实和论点]

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Objectives To analyse the prevalence of abnormal papsmears in a primary care center and the screening practices. Materials and methods Single-center retrospective study on 1,430 FCU performed in 1,251 patients between January 2009 and December 2011 with analysis of demographic, clinical and epidemiological chararacteristics of the women, and the monitoring of the patients with pathological papsmears. Results The study population was predominantly young (under 25), unmarried, nulliparous, and using contraception. Among the 1,244 FCU, nearly 90% of them were interpretable with the junction area interested. Nine percent were pathological with mainly ASC-US and L-SIL (3.5% and 4.5%) with no difference between more and less than 25 years. Two factors were significantly associated with the presence of pathological papsmear: first intercourse before age 14 and smoking more than 10 cigarettes per day. Monitoring of patients with a pathological papsmear showed that 33% of patients had not an appropriate follow-up especially younger patients. Discussion To perform papsmear before 25 years because the patient has associated high risk HPV co-factors does not appear justified by the severity or frequency of cytological lesions, especially as it increases the financial cost and is responsible of potential deleterious actions such as conizations probably excessive among the youngest patients. Personalized monitoring of these patients with a pathological papsmear is required. The French practice recommendations on cervical cancer screening (first screening at age 25, 26 years cytological control then every 3 years up to 65 years in patients who have or have had sex) deserve to be applied in young and disadvantaged patients.
机译：目的分析初级保健中心中异常乳头状瘤的患病率和筛查方法。材料与方法在2009年1月至2011年12月之间，对1,251名患者进行了1,430例FCU的单中心回顾性研究，分析了妇女的人口统计学，临床和流行病学特征，并监测了具有病理学特征的患者。结果研究人群主要为年轻（25岁以下），未婚，未生育和使用避孕药。在1,244个FCU中，近90％的FCU可以在感兴趣的交界处进行解释。 9％为病理性，主要为ASC-US和L-SIL（3.5％和4.5％），且25年以上和25年之间无差异。病理性纸莎草纸的存在与以下两个因素显着相关：14岁之前的第一次性交和每天吸烟10支以上。对具有病理学抹片的患者进行的监测显示，有33％的患者没有进行适当的随访，尤其是年轻患者。讨论由于患者具有相关的高危HPV辅助因素，因此在25年之前进行宫颈涂片检查似乎并不能通过细胞病变的严重程度或频率来证明，特别是因为它增加了财务成本并负责潜在的有害行为，例如锥切可能过多在最年轻的患者中。需要对这些患者进行病理学检查并进行个性化监测。法国关于子宫颈癌筛查的实践建议（对于有性行为或有性行为的患者，应在25、26岁时先进行细胞学检查，然后每3年至65岁进行一次筛查），应适用于年轻和弱势患者。

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