探讨妊娠合并宫颈息肉误诊临床观察.docxVIP

探讨妊娠合并宫颈息肉误诊临床观察哈尔滨维多利亚妇产医院150000摘要：目的：研究分析妊娠合并宫颈息肉误诊的临床观察。方法：此次研究的对象是选择2012年8月?2015年1月笔者所在医院孕检中发现的76例妊娠合并宫颈息肉患者，将其临床资料进行回顾性分析，对其进行详细的检查和治疗，同时对所有病例进行病理检查，以明确临床诊断。结果：(1)木组76例患者中，39 例患者表现为无症状，占51.32%o 17例患者表现为性交后出血，占22.37%, 15 例患者表现为阴道出血，占19.74%,出血量均少，呈现点滴状。5例患者表现为肿物脱出,占6.58%； (2)本组76例患者中,肉眼确诊12例，诊断率为15.79%, 电子阴道镜确诊64例，诊断率为84.21%。两种检查方法诊断率比较，差异有统计学意义(Pt;0.05)o (3)经过检查后，患者息肉生长方式主要向宫颈外口呈悬垂样生长，其次为宫颈管内膨胀牛长，息肉单发患者63例，占82.89%,多发患者13例，占17.11%o病例诊断结果主要以宫颈慢性炎症和鳞状上皮化生为主，其次为不典型增牛、腺囊型增牛型、腺肌型。结论：慢性宫颈炎是导致宫颈息肉的主要病因，由于存在癌变的危险，临床上要仔细分析患者的病情特点，及时做出正确的疾病诊断和采取恰当的治疗方法，可以减少临床妊娠合并宫颈息肉的误诊率，做到早发现、早治疗，有利于提高女性患者的生活和生命质量。【关键词】妊娠；宫颈息肉；误诊；临床分析[Abstract] Objective： To study the clinical observation of misdiagnosis of pregnancy complicated with cervical polyps.Methods： the object of this study is in August 2012 - 2015 years 1 month where the author hospital pregnancy test found 76 cases of pregnancy complicated with cervical polyp patients, their clinical data were retrospec t:ive an alysis, the for detailed exami nation and treatment, at the same time, all the patie nts for pathological exami nation, to confirm the diag no sis.Results： (1) in this group of 76 patients, 39 patients showed no symptoms, accounting for 51.32%.17 cases of patients with bleedi ng after sexual in tercourse, acco unting for 15, 22.37% cases of patients with vaginal bleeding, accounting for 29.74%, the amount of bleeding were less, showing a bit of.5 cases of patients showed tumor prolapse, 6.58%； (2)the group of 76 patients, 12 patients were diagnosed with the naked eye, diagnosis rate was 15.79%, electronic colposcopy in the diagnosis of 64 cases, diag nosis rate was 84.21%.Two kinds of exami nation methods of diag nosis rate comparison, the difference was statistically significant (Plt;0.05) ? (3) after the exami nation, the growth of patie nts with polyps mainly to the cervix outside the mouth was hanging like growth, followed by the expansion of the cervical canal growth, 63 cases of solitary polyps, accounting for 82.