KOLPOSKOPİ UYGULANAN OLGULARIN SOSYODEMOGRAFİK ÖZELLİKLERİNİN SERVİKAL BİYOPSİ SONUÇLARIYLA KORELASYONU

Abstract

Amaç: Sunulan çalışma, servikal sitoloji anormalliği veya vulvar, vajinal ve servikal lezyon varlığı nedeniyle kolposkopi uygulanan olguların sosyodemografik özelliklerini ve sosyodemografik özelliklerinin kolposkopi sırasında alınan servikal biyopsi sonuçlarıyla korelasyonunu değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Ocak 2011 ve Haziran 2012 tarihleri arasında, Antalya KETEM’nde, servikal sitoloji anormalliği veya vulvar, vajinal ve servikal lezyon varlığı nedeniyle kolposkopi uygulanan ve kolposkopi incelemesinin yeterli olarak kabul edildiği 301 kadın geriye dö- nük olarak değerlendirildi. Bulgular: Kolposkopi eşliğinde alınan servikal biyopsi sonucu normal olarak rapor edilen olgularla kıyaslandığında pre-invazif ve invazif servikal lezyon belirlenen olguların ortalama yaşı anlamlı olarak yüksekti (p=0.036). Bundan başka, pre-invazif ve invazif servikal hastalığı bulunan olgularda ortalama ilk koitus yaşı ve evli olma oranı anlamlı olarak daha düşüktü (sırasıyla p=0.001 ve p=0.002). Ayrıca, servikal patoloji saptanan olgularda düşük öğrenim düzeyi ve sigara alışkanlığı anlamlı olarak daha sık bulundu (sırasıyla p=0.040 ve p=0.044). Sonuç: Literatürle uyumlu olarak, sunulan çalışmada da, pre-invazif ve invazif servikal patoloji belirlenen kadınlarda ilk koitus yaşı- nın, evlilik oranının, sigara içmeme alışkanlığının ve yüksek öğrenim sıklığının daha düşük olduğu belirlenmiştir. Servikal biyopsi alınırken pre-invazif ve invazif serviks patolojileri için risk etkenleri mutlaka dikkate alınmalıdır.

Keywords

• Demografi, Kolposkopi, Servikal Biyopsi.

Abstract

Objective: The present study aims to assess the correlations between sociodemographic characteristics and cervical biopsy results of the women who underwent colposcopic examination due to the abnormalities of cervical cytology and the existence of vulvar, vaginal and cervical lesions. Methods: This study retrospectively reviews 301 women who underwent colposcopy at Antalya KETEM between January 2011 and June 2012. Results: The sociodemographic characteristics of 199 women with normal cervical biopsy results were compared with those of 102 women who had pre-invasive and invasive cervical pathologies. The women with pre-invasive and invasive cervical pathologies were found to be significantly older (p=0.036). In contrast, they were significantly younger at their first sexuel intercourse and the ratio of marriage was significantly less for them (p=0.001 and p=0.002 respectively). Moreover, the frequency of lesser education and smoking habit were significantly higher among the women with pre-invasive and invasive cervical pathologies (p=0.040 and p=0.044 respectively). Conclusions: In accordance with literature, the present study adresses lower age for first sexual intercourse, marital status (as single), lower socioeconomic status and smoking as risk factors for preinvasive and invasive cervical pathologies. These risk factors should be taken into account when decisions are made about the individuals from whom cervical biopsy would be acquired.

Keywords

• Cervical Biopsy, Colposcopy, Demographics.

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