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| Effect of Repeated Uterine Prolapse on Progression of Cervical and Vaginal lesions |
| GU Wen-wen, DING Yi, CHEN Ji-ming, et al |
| Jintan People's Hospital Affiliated to Jiangsu University Changzhou, Jiangsu 213200 |
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Abstract 【Objective】 To investigate the effect of repeated uterine prolapse on the progression of cervical and vaginal lesions. 【Methods】 A total of 100 patients with repeated uterine prolapse admitted to our hospital from January 30, 2015 to June 30, 2016 were selected as the observation group. At the same period,100 healthy women who received physical examination in our hospital were selected as the control group. The length of the cervix (anterior-posterior diameter and transverse) and the length of the cervicovaginal were measured. The cervical size and the length of the cervix were compared between the two groups. The subjects were followed up for 3 years. The incidence of cervical lesions and vaginitis were recorded. The relationship between cervical lesions and cervix length was analyzed. 【Results】 The incidence of cervical enlargement and cervical vaginal prolongation was higher in the observation group than in the control group (P<0.05); and the proportion of new cervical enlargement and cervical vaginal extension in the observation group was higher during the follow-up period than that in the control group (P<0.05). After 3 years of follow-up, the incidence of cervical lesions and vaginitis in the observation group were higher than those in the control group (P<0.05).The incidence of cervical lesions and vaginitis in the observation group was correlated with uterine prolapse grade (P<0.05). The incidence of cervical uterine prolapse and vaginitis in patients with grade Ⅳ was higher than that in patients with grade Ⅰ, Ⅱ and Ⅲ (P<0.05). The incidence of cervical lesions in patients with cervical enlargement before the follow-up was higher than that in patients with non-cervical enlargement and the incidence of vaginitis in patients with cervical vaginal extension before the follow-up was higher than that in patients with non-cervical vaginal extension (P<0.05). 【Conclusion】 Repeated uterine prolapse can increase the incidence of cervical and vaginal lesions, and the occurrence of cervical and vaginal lesions is closely related to the size of the cervix, the length of the cervicovaginal and the uterus prolapse.
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Received: 17 September 2019
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2020, Vol. 37 
