Effect Of Intrauterine Device And Chronic Disease On Cervical Cytology

Abstract

Aim: The aim of this study is to investigate the association between PAP smear results and the parameters such as IUD use, chronic disease, educational status, parity and age among the woman who applied to Bozok University Medical School obstetrics and gynecology department.Material and Methods: PAP smear results of 432 patients between 2011-2013 years were evaluated. Age, parity, and educational status of the patients and the precence of chronic diseasees hypertension, diabetes, asthma, congestive heart failure, hypercholesterolemia, goiter of patients were recorded. IUD use was also noted. Smear results were evaluated according to the 2001 Bethesda system.Results: Smears were obtained from 432 patients. Median age, gravity and parity of patients were 43.1 years 18-84 , 4.1 0-15 and 3.05 0-13 respectively. 415 of 432 smears were evaluated as a ILM - negative for intraepithelial lesion or malignancy . Among these ILM - smears them 67% were ILM - inflammatory, 30 of them were 7.6% ILM - atrophic and 91 of them were only ILM - . 17 smears were evaluated as ILM + ; 1 0.2% ASCUS, 8 ‘i 1.7% ASC-H, 5 1.2% LGSIL and 3 0.7% HGSIL. IUD use was found as an effective parameters on abnormal smear results. p = 0.03 .Conclusion: There was a correlation between abnormal smear results and IUD use, no association was found with chronic disease.

Keywords

• Cervical smear,IUD,risk factors

Rahim İçi Araç ve Kronik Hastalıkların Servikal Sitolojiye Etkisi

Abstract

Amaç: Çalışmamızın amacı Bozok Üniversitesi Hastanesi Kadın Hastalıkları ve Doğum polikliniğine başvuran hastalardan alınan PAP smear sonuçlarının, yaş, parite, eğitim durumu, kronik hastalıklar ve rahim içi araç RİA ile olan ilişkisini araştırmaktır.Gereç ve Yöntemler: 2011 – 2013 tarihleri arasında polikliniğimize başvuran 432 hastanın PAP smear sonuçları incelendi. Hastaların yaşı, paritesi, eğitim durumu ile kronik hastalık hipertansiyon, diabet, astım, konjestif kalp yetmezliği, hiperkolesterolemi, guatr kronik hastalık olup olmadığı ve RİA kullanıp kullanmadığı not edildi. Smear sonuçları 2001 Bethesda sistemine göre değerlendirildi.Bulgular: Toplam 432 hastadan smear alındı. Hastaların ortanca yaşı 43.1 yıl 18-84 , gravidası 4.1 0-15 , parite 3.05 0-13 olarak saptandı. Alınan smearlerden 415’i ILM - intraepitelyal lezyon veya malignite yönünden negatif saptandı. Bunların içerisinden 294’ü % 67 ILM - inflamasyonlu, 30’u %7.6 ILM - atrofik geri kalan 91’ i yalnızca ILM - idi. Geriye kalan ILM + 17 smearden 1’i %0.2 ASCUS, 8 ‘i %1.7 ASC-H, 5 %1.2 LGSIL, 3’ü %0.7 HGSIL olarak değerlendirildi. RIA kullanımının smear sonuçlarını etkilediği saptandı p=0.03 .Sonuç: Çalışma sonucunda smear sonuçları ile RİA kullanımı arasında anlamlı ilişki saptanırken kronik hastalıklar ile arasında anlamlı bir ilişki saptanmamıştır.

Keywords

• Servikal smear,RİA,risk faktörleri

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