Lesiones intraepiteliales cervicales : factores de riesgo y hallazgos colposcópicos en mujeres entre 25-50 años Estudio a realizar en el Hospital Teodoro Maldonado Carbo de enero a diciembre del 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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El presente trabajo de investigación tuvo el propósito determinar los factores de riesgo y hallazgos en la colposcopia de pacientes diagnosticadas con lesiones intraepiteliales cervicales siendo los factores de riesgo más frecuentes: la infección persistente por el virus del papiloma humano, el número de parejas sexuales, edad de inicio de la relaciones sexuales, consumo de tabaco, uso de anticonceptivos, infecciones vaginales, ITS, entre otros. El estudio tiene una visión critico-propositiva donde no solo se busca la frecuencia de estas lesiones premalignas del cérvix en mujeres jóvenes-adultas si no también buscar un plan de prevención como solución para disminuir los factores de riesgo asociados a las mismas. Se realizó un enfoque cuali-cuantitativo, tomando contacto en forma directa con el grupo de pacientes que acudían a la consulta externa del Hospital Teodoro Maldonado Carbo. El material y métodos se basó en un estudio observacional, analítico y retrospectivo, no experimental. Se basó en la recolección de datos mediante historias clínicas y encuestas realizadas a las pacientes de edades entre 25-50 de la consulta externa con diagnóstico de lesiones intraepiteliaes cervicales en el periodo establecido desde “Enero 2015 hasta Diciembre 2015” donde se observó 87 casos. Concluyo diciendo que las lesiones intraepiteliales cervicales se dan con mayor frecuencia en mujeres de 25-30 años de edad siendo el principal factor de riesgo comprobado que es la infección persistente por el virus del Papiloma Humano asociada sus cofactores como son el inicio temprano de las relaciones sexuales y las múltiples parejas sexuales, y los hallazgos en la colposcopia arroja un alto índice de lesiones intraepiteliales de bajo grado seguido de las lesiones de alto grado.
The present investigation was intended to determine the the risk factors and colposcopy findings in patients diagnosed with cervical intraepithelial lesions being the most common risk factors: genital HPV infection, the number of sexual partners, age of beginning of sex, use of tobacco use of contraceptives , vaginal infections, STDs, among others.The study has a critical-propositional vision where not only the frequency of these cervix premalignant lesions in young-adult women is searching but also looking for a prevention plan as a solution to reduce risk factors associated. A qualitative and quantitative approach has been created, making contact directly with the group of patients who were attended at the outpatient of the Hospital Teodoro Maldonada Carbo. The material and methods was based on an observational, analytical and retrospective study, not experimental study. It was based on data collection through medical records and surveys of patients aged 25-50 outpatient diagnosed with cervical intraepitelial lesions within the established time from "January 2015 to December 2015" where 87 cases were observed. I concluded saying that cervical intraepithelial lesions occur more frequently in women at ages from 25-30 years, being the main risk factor the genital infection with Human Papilloma Virus with associated cofactors such as the early onset of sexual activity and multiple sexual partners, and colposcopy findings reveals a high rate of low-grade intraepithelial lesions followed by high-grade intraepithelial lesions.
The present investigation was intended to determine the the risk factors and colposcopy findings in patients diagnosed with cervical intraepithelial lesions being the most common risk factors: genital HPV infection, the number of sexual partners, age of beginning of sex, use of tobacco use of contraceptives , vaginal infections, STDs, among others.The study has a critical-propositional vision where not only the frequency of these cervix premalignant lesions in young-adult women is searching but also looking for a prevention plan as a solution to reduce risk factors associated. A qualitative and quantitative approach has been created, making contact directly with the group of patients who were attended at the outpatient of the Hospital Teodoro Maldonada Carbo. The material and methods was based on an observational, analytical and retrospective study, not experimental study. It was based on data collection through medical records and surveys of patients aged 25-50 outpatient diagnosed with cervical intraepitelial lesions within the established time from "January 2015 to December 2015" where 87 cases were observed. I concluded saying that cervical intraepithelial lesions occur more frequently in women at ages from 25-30 years, being the main risk factor the genital infection with Human Papilloma Virus with associated cofactors such as the early onset of sexual activity and multiple sexual partners, and colposcopy findings reveals a high rate of low-grade intraepithelial lesions followed by high-grade intraepithelial lesions.
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Lesiones intraepiteliales cervicales, Factores de riesgo, Cuello uterino, Colposcopía, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Lesiones intraepiteliales escamosas de cuello uterino