沙特阿拉伯宫巴氏颈涂片检查的特点

　　Characteristic of Pap Smear in Saudi Arabia

　　H.M.F. Al-Kadri¹, M. Kamal², A. Omair³

　　¹Obstetrics and Gynecology, King Saud bin Abdulaziz University for Health Sciences. King Abdulaziz Medical City, ²Female Medical Student Branch, ³Medical Education, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

　　Background and aim: Saudi women population is characterized by low incidence of cervical cancer. We have assessed in this research the characteristics of abnormal pap smear in a Saudi population in comparison with normal pap smears.

　　Methods: 5000 Pap smears are performed annually at King Abdulaziz Medical Citys, Riyadh, Saudi Arabia where the cytology reporting follows the Bethisda II system. We have reviewed all pap smear results that were performed during the years 2007-2009 and 2011. Abnormal smear patients data was reviewed through their computer and paper based files and was compared with 200 normal smears that were selected randomly and were sampled across the study period.

　　Results: 841/19650 patients with abnormal Pap smear were identified which made its prevalence 4.3%. Abnormal smear patients characterized of being with lower parity and were more likely to use different contraception methods. Abnormal cervical appearance was associated with higher incidence of abnormal cervical smear (p=0.04), particularly when the cervix is easily bleeding on touch (p=0.02) or is identified with erosion (p=0.02). The only positive history that have characterized patients with abnormal smear was "previous history of abnormal Pap smear" (p=0.001).

　　Squamous cell abnormalities were identified in 767 (91%) patients (ASC-US 65%, ASC-H 6.5%, LSIL 22%, HSIL 5.5% and SCC 1%). Glandular cell abnormalities were identified in 74 (9%) of the patients (AGUS 72% and adenocarcinoma 28%).

　　Conclusion: Abnormal Pap smear prevalence is significantly low in Saudi Arabia. Overall, there is high incidence of advanced glandular abnormalities.

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