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土耳其孕妇的巴氏涂片筛查结果。

Pap smear screening results for Turkish pregnant women.

作者信息

Dinc Ayten

机构信息

School of Health Sciences, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

Asian Pac J Cancer Prev. 2012;13(11):5835-8. doi: 10.7314/apjcp.2012.13.11.5835.

Abstract

OBJECTIVE

Cervix cancer is one of the most common gynecological cancer types that cause cancer deaths among women. This study was planned based on a descriptive method in order to evaluate the results of PAP smear screening during pregnancy for prevention of cancer.

MATERIALS AND METHODS

The research involved 110 pregnant women registered at the Obstetrics and Gynecology Polyclinic of Bagcilar Training and Research Hospital and 86 non-pregnant women of the same ages as a control group. As criteria for acceptance were conditions such as not being in coitus within the last 48 hours, not using vaginal ovule, and not performing vaginal lavage. A survey consisting of 33 questions was conducted and the results were processed using Bethesda.

RESULTS

The average ages were 27.1±4.70 for the pregnant women and 28.8±4.24 for the control group. 60.7% of cases had previously heard of a PAP smear test, 49% were aware of why PAP smear tests were conducted, 26.4% of pregnant participants and 27.3% of non-pregnant participants had previously undergone a smear test. In this study, smear results of all cases were 95.4% sufficient. 18.2% of pregnant cases had an infection, 54.5% had reactive cellular change, and 0.9% had atypical squamous cells of undetermined significance (ASC-US). 16.3% of non-pregnant cases had an infection, 58.1% had reactive cellular change, 3.5% had atypical squamous cells of undetermined significance (ASC-US), and 1.2% had low-grade squamous intraepithelial lesions (LGSIL).

CONCLUSION

PAP smear test is a good opportunity to identify pre-invasive lesions in early phases of pregnancy.

摘要

目的

宫颈癌是导致女性癌症死亡的最常见妇科癌症类型之一。本研究基于描述性方法进行规划,以评估孕期巴氏涂片筛查预防癌症的结果。

材料与方法

该研究纳入了在巴伊卡尔培训与研究医院妇产科门诊登记的110名孕妇以及86名年龄相同的非孕妇作为对照组。纳入标准为过去48小时内无性交、未使用阴道栓剂且未进行阴道灌洗等条件。进行了一项包含33个问题的调查,并使用贝塞斯达系统对结果进行处理。

结果

孕妇的平均年龄为27.1±4.70岁,对照组为28.8±4.24岁。60.7%的病例此前听说过巴氏涂片检查,49%知道进行巴氏涂片检查的原因,26.4%的孕妇参与者和27.3%的非孕妇参与者此前接受过涂片检查。在本研究中,所有病例的涂片结果95.4%足够。18.2%的孕妇病例有感染,54.5%有反应性细胞改变,0.9%有意义不明确的非典型鳞状细胞(ASC-US)。16.3%的非孕妇病例有感染,58.1%有反应性细胞改变,3.5%有意义不明确的非典型鳞状细胞(ASC-US),1.2%有低级别鳞状上皮内病变(LGSIL)。

结论

巴氏涂片检查是在妊娠早期识别癌前病变的良好时机。

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