Revista chilena de obstetricia y ginecología
On-line version ISSN 0717-7526
MENDOZA T, Luis Alfonso et al. Prevalencia de lesiones de bajo y alto grado de cuello uterino en una ciudad colombiana. Rev. chil. obstet. ginecol. [online]. 2012, vol.77, n.2, pp.129-136. ISSN 0717-7526. http://dx.doi.org/10.4067/S0717-75262012000200009.
Objective: To determine the prevalence of lesions of low and high grade cervical in a Lender Institution Health Services, Tuluá, Colombia, 2008-2010. Methods: We performed a retrospective study which included women between 15 and 75 years living in Tuluá. We evaluated the normality of quantitative variables, using the median or average with their variances for quantitative variables according to their distribution and frequencies and proportions for categorical variables. Results: 3539 women were included. The median age was 38 years with interquartile range (IR: 29-46 years) and the median parity was 1 (IR: 0-3). In relation to social security and family planning birth control, most were private and did not use any method. The 87.5% of smears was reported as negative, low-grade squamous intraepitelial lesions (LSIL) 8.2%, atypical squamous cells of undetermined significance (ASC-US) 2.6%, high-grade squamous intraepitelial lesions (HSIL) 0.9%, atypical squamous cells cannot rule out a high grade lesion (ASC-H) 0.0%, atypical squamous glandular cells of undetermined significance (ASGUS) 0.4% and invasive carcinoma 0.2%. Conclusion: The prevalence of cytological abnormalities was low in all groups studied, however, a greater number of LSIL to the fourth decades of life and those who began their sexual life after 40 years. Similarly, an inverse relationship was found between parity, hormonal family planning and pre-neoplastic lesions.
Keywords : Cervical cytology; cervical cancer; human papilloma virus.