[宫颈涂片异常的孕妇管理。146例患者系列研究]

[Management of pregnant women with abnormal cervical smears. A series of 146 patients].

作者信息

Baldauf J J, Dreyfus M, Gao J, Ritter J, Philippe E

机构信息

Service de Gynécologie-Obstétrique 1, Hôpital de Hautepierre, Hôpitaux Universitaires, Strasbourg.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1996;25(6):582-7.

PMID:8964955

Abstract

OBJECTIVES

Evaluation of the value of colposcopy and directed biopsy in the follow-up of pregnant women presenting with abnormal cervical smear.

MATERIAL AND METHODS

Retrospective study of 146 patients examined by colposcopy during pregnancy between January 1985 and December 1994.

RESULTS

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.

CONCLUSION

Colposcopy with directed biopsy is a reliable tool to evaluate abnormal smear during pregnancy.

摘要

目的

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。

材料与方法

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。

结果

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。