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目的 探讨在妊娠期进行宫颈涂片筛查的必要性、可行性、安全性及妊娠期宫颈病变的特征。方法 对在本院就诊的 94例孕妇 ,10 5 3例同龄非妊娠正常体检者及 190 8例妇科门诊患者的宫颈涂片细胞学筛查结果进行分析对比。结果 孕妇宫颈病变发生率为 9.3% ,与妇科患者组及正常对照组相似 ,包括感染及鳞状上皮内病变。但孕妇组宫颈病变以感染为主 ,其发生率达 89.9% ,明显高于其他两组 (6 4.5 %及 6 9.1% ,P<0 .0 1)。结论 产前检查是进行宫颈涂片细胞学筛查不可忽视的时机。该检查法安全、可行。妊娠期感染性病变发生率较高 ,应予以重视 ,其处理方法与非妊娠期相同
Objective To investigate the necessity, feasibility and safety of cervical smear screening during pregnancy and the characteristics of cervical lesions during pregnancy. Methods The results of cervical smear cytology screening of 94 pregnant women, 1053 non-pregnant normal pregnant women of the same age and 1908 gynecological outpatients were compared and analyzed. Results The incidence of cervical lesions in pregnant women was 9.3%, which was similar to that of gynecological patients and normal controls, including infection and squamous intraepithelial lesion. However, the infection rate of cervical lesions in pregnant women was 89.9%, significantly higher than the other two groups (4.5% vs 61%, P <0.01). Conclusions Prenatal examination is an opportunity that should not be overlooked in screening cervical smears. The inspection method is safe and feasible. High incidence of infectious lesions during pregnancy, should be taken seriously, its treatment and non-pregnancy the same