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Analysis of cervical lesions in pregnancy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1007-9408.2004.06.004
- Key Word:
- 妊娠并发症,肿瘤;宫颈上皮内瘤样病变;阴道涂片
Abstract： 目的了解妊娠合并宫颈病变--宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)及宫颈原位癌(carcinoma in situ,CIS)的诊断、处理及妊娠结局.方法回顾性分析1998年1月～2003年10月间我院15例妊娠期宫颈病变患者的诊断及治疗.结果15例孕妇中11例经阴道镜下活检证实为由CIN～宫颈癌Ia1期,其中10例每8周左右复查阴道镜,病情无进展,均足月分娩;1例宫颈原位癌累及腺体的孕妇于早孕期终止妊娠.足月分娩者中4例(CINⅡ期、CINⅢ期、宫颈原位癌及宫颈癌Ia1期各1例)病情稳定,产后宫颈活检病理结果与孕期相同.3例孕期活检为CIN Ⅰ期者,产后活检为炎症.1例孕期活检为原位癌累腺者,产后活检为CINⅡ～Ⅲ期.1例孕期活检为CINⅢ期者,产后锥切结果为原位癌累腺.1例孕期为原位癌累及腺体的产妇产后失访.结论妊娠期宫颈病变(CIN～Ia1期)很少产后恶化,在孕期可予观察,定期行宫颈细胞学及阴道镜检查,必要时做活检,产后2月复查,根据病理结果制定治疗原则.将一年内未进行防癌普查的孕妇纳入产前检查常规,可提高孕期宫颈病变的检出率.
- [1]M S, Mikhail,A, Anyaegbunam,S L, Romney.Computerized colposcopy and conservative management of cervical intraepithelial neoplasia in pregnancy.[J].1995,74(5).
- [2]周郅隆.高危妊娠的监护与处理[M].1999.
- [3]C, Penna,M G, Fallani,M, Maggiorelli,etc.High-grade cervical intraepithelial neoplasia (CIN) in pregnancy: clinicotherapeutic management.[J].1900,84.
- [4]JOEL I. SOROSKY,ROBERT SQUATRITO,BONIFACE U. NDUBISI,etc.Stage I Squamous Cell Cervical Carcinoma in Pregnancy: Planned Delay in Therapy Awaiting Fetal Maturity[J].1995,59(2).
- [5]David Ahdoot,Kristi M. Van Nostrand,Nicole J. Nguyen,etc.The effect of route of delivery on regression of abnormal cervical cytologic findings in the postpartum period[J].1998,178(6).
- [6]M J, Campion,T V, Sedlacek.Colposcopy in pregnancy.[J].1993,20.
- [7]J G, Madej.Colposcopy monitoring in pregnancy complicated by CIN and early cervical cancer.[J].1996,17(1).
- [8]Harper, Diane M.,Roach, Mona S.I..Cervical Intraepithelial Neoplasia in Pregnancy.[J].1996,42(1).
- [9]Iliya FA,McIntire DD,Santoso JT,etc.Postpartum regression rates of antepartum cervical intraepithelial neoplasia II and III lesions.[J].1999,93(3).
- [10]W, Kirkup,A, Singer.Colposcopy in the management of the pregnant patient with abnormal cervical cytology.[J].1980,87.
- [11]Ann Coppola,Joel Sorosky,Robert Casper,etc.The Clinical Course of Cervical Carcinomain SituDiagnosed during Pregnancy[J].1997,67(2).