Baldauf J J, Dreyfus M, Gao J, Ritter J, Philippe E
Service de Gynécologie-Obstétrique 1, Hôpital de Hautepierre, Hôpitaux Universitaires, Strasbourg.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(6):582-7.
Evaluation of the value of colposcopy and directed biopsy in the follow-up of pregnant women presenting with abnormal cervical smear.
Retrospective study of 146 patients examined by colposcopy during pregnancy between January 1985 and December 1994.
Colposcopy was satisfactory in 86% of patients. Colposcopic impression was concordant with the final diagnosis, overestimated and underestimated in 69%, 18% and 13% of the cases, respectively. Directed biopsies were performed in 115 patients. In one case, bleeding necessitated vaginal packing for 24 hours. Directed biopsy correlated well with the final diagnosis in 87% of low grade CIN and in 90% of high grade CIN. In 4 patients, conisation was performed between 10 and 16 weeks of gestation without subsequent obstetrical complications.
Colposcopy with directed biopsy is a reliable tool to evaluate abnormal smear during pregnancy.
评估阴道镜检查及直视下活检在宫颈涂片异常孕妇随访中的价值。
对1985年1月至1994年12月期间孕期接受阴道镜检查的146例患者进行回顾性研究。
86%的患者阴道镜检查结果满意。阴道镜印象与最终诊断相符、高估及低估的病例分别占69%、18%和13%。115例患者进行了直视下活检。1例患者活检后出血，需阴道填塞24小时。87%的低级别宫颈上皮内瘤变（CIN）及90%的高级别CIN患者直视下活检结果与最终诊断高度相关。4例患者在妊娠10至16周期间接受了锥切术，术后未出现产科并发症。
阴道镜检查及直视下活检是评估孕期异常涂片的可靠方法。
