妊娠期子宫颈细胞学检查异常与妊娠结局的关系齐丽丽王淑珍梁金凤.PDFVIP

妊娠期子宫颈细胞学检查异常与妊娠结局的关系 齐丽丽 王淑珍 梁金凤 张震宇 陆红 【摘要】 目的 研究妊娠期宫颈细胞学检查异常对妊娠结局的影响。方法 回顾性分析 首都医科大学附属北京朝阳医院 1999 年 1 月至2001 年5 月间孕中期行宫颈细胞学检查并 分娩的初产妇 1069 例, 比较宫颈细胞学检查正常(A 组) 和异常(B 组) 初产妇分娩期并发 症、分娩方式、阴道分娩者的第一产程、胎儿窘迫及孕期宫颈细胞学检查异常者的产后转归 情况。结果 B 组中胎膜早破(39.39 %) 和胎儿窘迫(30.30 %) 的发生率显著高于A 组 (5.21 %和 15.25 % , P 均 0.01) ;A 组和B 组早产、剖宫产的发生率分别为 3.38 %和 3.03 %、 44.11 %和 30.30 % ,阴道分娩者的第一产程分别为 713 h 和 717 h ,两组间比较,差异均无显著 性( P 0.05) ;孕中期宫颈细胞学检查异常者的产后逆转率为 62 % 。结论 孕期宫颈细胞学 检查异常对胎膜早破和胎儿窘迫有影响;孕期行宫颈细胞学检查是必要的,应作为常规检查。 【关键词】 阴道涂片; 妊娠结局 Influence of abnormal cervical pap smear undertaken during pregnancy to the outcome of the pregnancy QI Lili , WANG Shuzhen , LIANG Jinfeng , ZHANG Zhenyu , LU Hong. Department of Obstetrics and Gynecology , Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences , Beijing100020 , China 【Abstract 】 Objective To investigate the influence of abnormal cervical pap smear undertaken in pregnancy to the outcome of the pregnancy. Methods A total of 1069 primipara deliveried in Beijing Chaoyang hospital from Jan 1999 to May 2001 were reviewed , furthermore we compared the group of normal pap smear (group A) with the group of abnormal pap smear (group B) , and analysed the difference of the complications during pregnancy , methods of delivery , the first stage of labor , fetal distress and the outcome of the cervical pap smear postpartum. Results The incidence of premature rupture of the membranes and fetal distress in group B , which were 39.39 % and 30.30 % , respectively , were significantly higher than that of group A , which were 5.21