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目的:探讨妊娠期妇女进行宫颈筛查的必要性,并分析妊娠期宫颈病变的预防、诊断特征。方法:选择2010年3月-2013年3月期间在本院接受宫颈细胞学检查的妊娠期孕妇106例为研究对象,并选择同期在本院接受妇科常规检查的非妊娠患者250例为对照,开展回顾性研究,详细分析患者临床病例和诊断特征,并深入探寻妊娠合并宫颈病变的诊疗方法。结果:宫颈细胞学检查发现妊娠组孕妇宫颈上皮内病变发生率和非孕妇无显著差异(p>0.05);随着患者病变程度加深,TBS细胞病理学和组织病理学很大程度展现一致性;高危型HPV感染率和病理学病变程度呈正相关关系。结论:妊娠期和非妊娠期妇女宫颈病变发生率大致相同,产前孕妇应进行宫颈疾病筛查可及时发现宫颈病变,并采取积极的治疗;宫颈细胞学筛查和阴道镜活检对孕产妇是安全、必要,对癌前病变、宫颈癌病变的早期诊断和治疗具有重大的意义。对妊娠合并宫颈病变患者应综合各因素,实施针对性诊疗方法。
Objective: To explore the necessity of cervical screening in pregnant women and to analyze the precautionary and diagnostic features of cervical lesions during pregnancy. Methods: From March 2010 to March 2013 in our hospital received cervical cytology during pregnancy 106 pregnant women as the study object, and select the same period in our hospital for routine gynecological examination of 250 non-pregnant women as a control, To conduct a retrospective study, a detailed analysis of patients with clinical cases and diagnostic features, and in-depth exploration of pregnancy diagnosis and treatment of cervical lesions. Results: Cervical cytology showed that there was no significant difference in the incidence of cervical intraepithelial lesions between pregnant women and non pregnant women (p> 0.05). With the deepening of the lesions, the histopathology and histopathology of TBS showed consistency to a large extent. High-risk HPV infection and pathological lesions showed a positive correlation. Conclusions: The prevalence of cervical lesions in pregnant women and non-pregnant women is roughly the same. Prenatal pregnant women should be screened for cervical diseases to find cervical lesions in time and take active treatment. Cervical cytology screening and colposcopy biopsy of pregnant women are Safe and necessary, for the precancerous lesions, early diagnosis and treatment of cervical cancer lesions of great significance. Pregnancy complicated with cervical lesions should be integrated with the various factors, the implementation of targeted diagnosis and treatment methods.