北京市密云区妇幼保健院对6649例孕妇妊娠期宫颈癌筛查及处理的临床分析

发布时间：2018-12-05 20:56

【摘要】：目的通过对6 649例孕妇进行宫颈癌筛查,对筛查出的宫颈病变及早期浸润癌,进行规范处理,防止宫颈癌的发生,减少母儿病死率。方法选择2011年1月1日至2014年12月31日在北京市密云区妇幼保健院产科门诊初次检查的孕10~32周,1年内未进行过宫颈液基薄层细胞学检查(TCT)或孕期有接触性阴道出血、异常阴道分泌物者的6 649例孕妇,先行TCT检查,对TCT结果异常者行HPV检测,再进行阴道镜和阴道镜指引下宫颈活检。结果对6 649例孕妇进行TCT检查,其中154例TCT结果异常,发生率2.32%。对154例孕妇进行HPV检测,其中110例HPV(+),发生率71.43%。对154例孕妇均进行阴道镜检查,其中的114例进行了阴道镜指引下宫颈活检。病理回报:炎症48例,CIN1 36例,CIN2 18例,CIN3 10例,SCC 2例。整个孕期对孕妇进行了保守观察,随访至产后3~6个月。结论妊娠期宫颈癌筛查的方法与非妊娠期妇女基本相同,对孕期发现宫颈癌前病变和宫颈微小浸润癌的妇女,可采取随访观察及产后再评估的模式。
[Abstract]:Objective to screen the cervical cancer in 6 649 pregnant women, and to deal with the cervical lesions and early invasive carcinoma in order to prevent the occurrence of cervical cancer and reduce the maternal and infant mortality. Methods from January 1, 2011 to December 31, 2014, a total of 1032 weeks of pregnancy were performed in the maternity clinic of Miyun District, Beijing. (TCT) or contact vaginal bleeding during pregnancy were not performed within one year. 6 649 pregnant women with abnormal vaginal discharge were examined with TCT, HPV was detected with TCT, and cervical biopsy was performed under colposcopy and colposcopy. Results TCT was performed in 6 649 pregnant women, of which 154 were abnormal in TCT, the incidence was 2.32. HPV was performed in 154 pregnant women, of which 110 were HPV (), with a rate of 71.43. 154 pregnant women were examined by colposcopy, 114 of them underwent cervical biopsy guided by colposcopy. Pathological findings: inflammation in 48 cases, CIN1 in 36 cases, CIN2 in 18 cases, CIN3 in 10 cases and SCC in 2 cases. The pregnant women were observed conservatively throughout pregnancy and followed up to 3 ~ 6 months postpartum. Conclusion the screening method of cervical cancer in pregnancy is basically the same as that in non-pregnant women.
【作者单位】：北京市密云区妇幼保健院妇产科;
【分类号】：R714.2;R737.33

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