目的 分析孕妇行宫颈细胞学检查的必要性和安全性。方法 2009年3月—12月对本院5 952例正规产检孕妇在孕14～18周行妊娠期宫颈细胞学筛查,与同期妇科门诊非妊娠患者12 186例的宫颈细胞学筛查结果进行比较。结果 孕妇宫颈细胞阳性检出率为2.9%,ASCUS、LSIL、HSIL的阳性检出率分别为2.5%、0.35%和0.03%,无宫颈癌。非妊娠妇女宫颈细胞阳性检出率8.7%,ASCUS、AGUS、LSIL、HSIL、宫颈癌、腺癌、鳞癌阳性检出率分别为7.3%、0.17%、1.02%、0.25%、0.2‰、0.2‰和0.1‰。孕妇宫颈细胞阳性率,ACUS、LSIL、HSIL阳性率分别与非妊娠妇女比较,差异均有统计学意义(P＜0.01)。孕妇HPV、假丝酵母菌、滴虫和细菌感染的检出率分别为1.5%、8.2%、0.2‰和3.9%;非妊娠妇女分别为2.4%、5.9%、0.5%和8.1%。孕妇HPV、滴虫和细菌感染的检出率低于非妊娠妇女,假丝酵母菌感染检出率高于非孕期妇女,差异均有统计学意义(P＜0.01)。结论 孕妇宫颈疾病发生率低于非妊娠妇女,宫颈上皮内病变及假丝酵母菌等感染仍有一定检出。孕期产检行宫颈细胞学筛查安全、可行,具有一定的社会价值。
关键词
妊娠 /
宫颈细胞学筛查 /
孕妇
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