TCT联合阴道镜下宫颈活检在诊断孕妇宫颈病变中的应用  

The Application Value of TCT and Cervix Biopsy Guided by Colposcopy in Diagnosis of Cervical Diseases in Pregnant Women

作　　者：郭秀玲[1] 

机构地区：[1]山东省枣庄市妇幼保健院妇产科,山东枣庄277000

出　　处：《中外医疗》2011年第26期89-90,共2页China & Foreign Medical Treatment

摘　　要：目的探讨TCT筛查后,阴道镜下官颈活检诊断孕妇宫颈病变的临床价值和安全性。方法采用队列研究方法,选择2007年3月至2010年2月,在枣庄市妇幼保健院行常规孕期检查的孕妇,孕13～34周,先进行TCT筛查,对TCT结果异常者,在知情同意后进行阴道镜下宫颈活检。结果 (1)TCT筛查孕妇共计12097例,其中TCT结果异常1004例,发生率为8.23%。(2)1004例孕妇中,进行了阴道镜下宫颈活检123例,病理结果为宫颈炎及宫颈湿疣共28例,CINI46例、CINII21例、CINIII19例(包括官颈原位癌7例)、SCCI2期9例。(3)8例孕妇因宫颈局部压迫止血无效行创面缝合止血,未发生其他与阴道镜检查和宫颈活检相关的不良事件。结论 TCT联合阴道镜下宫颈活检在诊断孕妇宫颈病变是安全有效的。Objective To investigate the value and sffety biopsy guided by eolposeop in diagnosis of cervical diseases in pregnant wome.Methods From March 2007 to February 2010,12097 pregnant women who receive antenatal examination underwent cervical cytological screening thinprep cytology test（TCT） in maternity and child health hospital of Zaozhuang city,Shandong province.If abnormal cytological results were found.those pregnant women were administered by colposcopic examination and biopsy after they signde informed consent.Results（1）The abnormal TCT results of 1004 pregnant women were found in 12097 cases（8.23%）.（2）in 1004 cases,123 cases were biopsyed under colpocopy.It was found 28 cases with cervical inflammation or wart,46 cases with CIN I,21CIN II,19 cases with CIN III and 9 cases with MIVC.（3）Eight pregnant women underwent cervical wound suturing due tocontinuous bleeding after colposcopy exam or biopsy.No other complications were recorded.Conclusion TCT and cervix biopsy guided by colposcopy is safety and available.

关 键 词：妊娠并发症 宫颈上皮内瘤样病变 阴道镜检查 活组织检查 

分 类 号：R711.3[医药卫生—妇产科学]