妊娠期及产后42 d行宫颈筛查的必要性分析

doi:10.3969/j.issn.10073205.2017.02.012

河北医科大学学报

妊娠期及产后42 d行宫颈筛查的必要性分析

江苏省南通市妇幼保健院妇产科，江苏南通 226000

出版日期:2017-02-25 发布日期:2017-03-10
作者简介:金彦琪（1982-），女，江苏南通人，江苏省南通市妇幼保健院主治医师，医学学士，从事妇产科疾病诊治研究。

Necessity analysis of routine screening for cervical during the 42 days of postpartum and gestational period

Department of Gynaecology and Obstetrics, Women and Child Health Care Hospital of Nantong City, Jiangsu Province, Nantong 226000， China

Online:2017-02-25 Published:2017-03-10

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨妊娠期及产后42 d行宫颈筛查的必要性。
〖HTH〗方法〖HTSS〗〖KG*2〗选取626例妇女，其中孕6~36周60例，产后42 d 566例，均以美国提出的描述性诊断诊断为金标准，观察妊娠期及产后42 d时细胞学诊断分布情况及肉眼所见宫颈改变情况。
〖HTH〗结果〖HTSS〗〖KG*2〗本研究60例妊娠期妇女细胞学筛查阳性率为11.68%（7/60），566例孕产妇产后42 d细胞学筛查阳性率为7.42%（42/566）。566例中经阴道分娩417例，剖宫产149例。宫颈出现病变总构成比为73.85%（418/566），其中宫颈炎388例，宫颈裂伤9例，宫颈肥大5例，宫颈息肉4例，发育畸形4例，宫颈功能不全3例，宫颈腺体囊肿2例，宫颈上皮内瘤变1级2例，宫颈上皮内瘤变2级1例。
〖HTH〗结论〖HTSS〗〖KG*2〗产前及产后42 d检查时应进行宫颈疾病筛查，有助于及时发现宫颈病变，以便早期发现、早期治疗，提高孕妇产后的生活质量。

关键词: 宫颈疾病, 阴道涂片, 筛查

Abstract: ［Abstract］ Objective〖HTSS〗〓To discuss the necessity analysis of routine screening for cervical during the 42 days of postpartum and gestational period.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Six hundred and twentysix cases of women were selected, including pregnancy 6-36 weeks in 60 cases, postpartum 42 d in 566 cases. The distribution of cytological diagnosis and cervical changes seen by the naked eye had been observed after pregnancy and at 42 d postpartum, by using the gold standard of the Bethesda system diagnosis.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The positive rate of cytological screening in 60 pregnant women was 11.68%(7/60) in this research. The positive rate was 7.42%(42/566) of 566 cases of pregnant women in this group of studies by cytological screening on the 42nd day postpartum. There were 417 cases were delivered by vaginal delivery and 149 cases of cesarean section of 566 cases of pregnant women in this group of studies. The total constituent ratio was 73.85%(418/566) of cervical lesions, including cervicitis in 388 cases, cervical laceration in 9 cases, cervical hypertrophy in 5 cases, cervical polyps in 4 cases, developmental malformation in 4 cases, cervical incompetence in 3 cases, cervical gland cyst in 2 cases, cervical intraepithelial neoplasia grade 2 in 1 cases, cervical intraepithelial neoplasia grade 1in 2 cases.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Pregnant women should be screened for cervical disease during the period of prenatal and postnatal 42 d examination, which is helpful for the timely detection of cervical lesions, and to detect and treatment early in order to improve the quality life of pregnant women.

Key words: uterine cervical diseases, vaginal smears, screening

金彦琪，黄永彤，朱小利. 妊娠期及产后42 d行宫颈筛查的必要性分析[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2017.02.012.

JIN Yanqi， HUANG Yongtong， ZHU Xiaoli. Necessity analysis of routine screening for cervical during the 42 days of postpartum and gestational period[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2017.02.012.

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妊娠期及产后42 d行宫颈筛查的必要性分析

Necessity analysis of routine screening for cervical during the 42 days of postpartum and gestational period

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