妊娠期妇女500例宫颈筛查.docVIP

精品论文 参考文献 妊娠期妇女500例宫颈筛查 云南省德宏州人民医院产科 云南德宏 678400 摘要：目的：通过分析妊娠期妇女的宫颈筛查与产后随访资料来探究宫颈病变情况、妊娠期宫颈细胞病理学特征。方法：从我院2012年2月至2014年8月接收并治疗的产检孕妇中随机性抽取500例进行回顾性分析和探究，作为研究组，均行液基细胞学检测（TCT）检查，且对异常结果进行分析和随访，探究宫颈组织活检和阴道镜检查；对照组为宫颈癌大规模筛查项目的非孕期妇女500例，均进行液基细胞学检测（TCT），并分析其结果。结果：研究组中妊娠期妇女中细胞阳性病例检出率4%，其中进行活检率为14%，病理结果呈阳性率57%；对照组中妇女活检率18%，阳性率为59%。妊娠期和非孕期妇女的总细胞阳性率不存在明显差异（Pgt;0.05），非孕期HSIL检出率明显高于孕期妇女，差异性较大（Plt;0.05），研究组和对照组中病理阳性率、活检率和宫颈癌发生率等不存在较大差异。结论：宫颈病变不受妊娠的影响，多数宫颈病变会在产后自行痊愈或者无进展，妊娠期出现除浸润病变外的宫颈癌前病变可以采用再评估和随访观察模式。 关键词：妊娠期妇女；宫颈筛查；阳性率；活检 [Abstract]Objective：through the analysis of pregnant women with cervical screening for postpartum follow-up data to explore cervical lesions，cervical cytopathology during pregnancy characteristics.Methods：random check pregnant women receiving extraction and treatment in 500 cases were retrospectively analysis and research from 2012 February to 2014 August in our hospital，as the study group，underwent thinprep cytologic test（TCT）and check，analysis and follow-up of abnormal results of cervical biopsy，inquiry and colposcopy；control group cervical cancer screening program for large-scale non pregnant women in 500 cases，were performed on liquid based cytology test（TCT），and the analysis of its results.Results：the cells positive cases in the study group of pregnant women in the detection rate of 4%，in which the biopsy rate was 14%，pathological results showed the positive rate was 57%；the control group of women with biopsy rate was 18%，the positive rate was 59%.The total positive rate of cells in pregnant and non pregnant women do not exist significant difference（Pgt;0.05），the positive rate of HSIL was significantly higher than that of non pregnant women in pregnancy，difference（Plt;0.05），differences do not exist rate and other positive rate，pathological study group and the control group in the rate of biopsy and cervical cancer.Conclusion：cervical lesions are not affected by the impact of pregnancy，the majority of cervical lesions in postpartum heal itself or no progr