Harper D M, Roach M S
Department of Community and Family Practice, Truman Medical Center-East, Kansas City, Missouri 64139, USA.
J Fam Pract. 1996 Jan;42(1):79-83.
There is no evidence that cervical intraepithelial neoplasia (CIN) progresses more rapidly because of pregnancy. Management of CIN in pregnancy, therefore, is conservative. Screening for invasive cancer is done at the first prenatal visit. Colposcopically directed biopsy can then be used to rule out invasive cancer. Postpartum cytology and colposcopy are important follow-up procedures for these women. Cryosurgery for CIN is usually contraindicated in pregnancy. This report includes examples of two pregnant patients with high-grade lesions. A diagnostic and treatment algorithm based on the current "expert opinion"is presented.
没有证据表明宫颈上皮内瘤变（CIN）会因妊娠而进展得更快。因此，妊娠期CIN的管理是保守的。在首次产前检查时进行浸润性癌筛查。然后可通过阴道镜引导下活检来排除浸润性癌。产后细胞学检查和阴道镜检查是这些女性重要的后续检查程序。妊娠期通常禁忌对CIN进行冷冻手术。本报告包括两名患有高级别病变的孕妇病例。还提出了基于当前“专家意见”的诊断和治疗算法。
