妊娠合并梅毒早期治疗的临床意义.pdfVIP

1035 【临床与预防】 妊娠合并梅毒早期治疗的临床意义 郑锐青，魏萍，赵宇崎 [摘要】 娠合并梅毒患者进行回顾性调查分析，将早期发现早期治疗的妊娠合并梅毒患者分为治疗组，孕20周后发现梅毒及发现 后未治疗者为未治疗组。结果：5年期间我院分娩总数12305例，接受梅毒筛查6435例，妊娠合并梅毒56例，发生率 论：妊娠合并梅毒患者由于症状及体征不明显，容易误诊，因此，孕期常规梅毒筛查特别重要，早期规范的青霉素治疗， 能明显降低围产儿死亡率及先天梅毒的发生。 【关键词] 梅毒；妊娠并发症；感染性；妊娠结局；治疗 【中图分类号]R759．1 [文献标识码】A CLINICALSIGNⅡ1CAIqCEINEARLYTREATMENTOFSYPHILISINPREGNANTWOMEN．砑愿7、『G ZHAO and Certral Yu一面，DepartmentofObstetricsgynm)logy，LonggangHospital the betweentreatmentof in vn3menand out- Abstract：Objective：Toinvestigaterelationshipearly syphiliSpregnant pregnancy of of in 2000．1to2005．1WONcollectedfor comes．Methods：Datapatientssyphilis periodduring retrospectiveanalysis． pregnant untreated womenwith weredividedintotreated treatmentbefore20w)and pregnant syphilis group(receivedpenicillinanti—syphilis number was of6435womenwhorecieved were total ofdeliveries12305，and56 screening positive，in— group．Results：The syphilis of cidencewas8．7／1000．The rateswere13．5％intreated and80．8％inuntreatedwithincidences perinatalmortality group group is tobe because were18．2％and womenof misdiagnosed congenitalsyphilis 63．6％respectively．Conclusion：pregnantsyphilisprone ofher itis toscroen risk im