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目的探讨本地区妊娠梅毒的发生情况,治疗孕周与妊娠不良结局的关系。方法自2008年1月1日-2009年12月31日来我院进行首次产前检查的孕妇常规进行梅毒血清学检查,对诊断为妊娠梅毒者进行规范化治疗和观察妊娠结局。结果本组孕妇妊娠梅毒发生率为7.761‰。于孕早期诊断和规范化治疗的妊娠梅毒未发现不良妊娠结局,包括先天梅毒,孕中晚期诊断未进行规范性治疗的妊娠梅毒,不良妊娠结局发生率为76.92%。先天梅毒发生率为38.46%。结论对妊娠梅毒及早筛查,及早诊断,规范治疗可以有效预防不良妊娠结局和先天梅毒的发生。
Objective To investigate the incidence of syphilis in pregnancy in this area and to investigate the relationship between gestational age and poor outcome in pregnancy. Methods From January 1, 2008 - December 31, 2009 to our hospital for the first time of prenatal care of pregnant women routine syphilis serology, diagnosed with gestational syphilis were standardized treatment and observation of pregnancy outcomes. Results The incidence of syphilis in pregnant women in this group was 7.761 ‰. Pregnancy syphilis diagnosis and standardization treatment in the first trimester found no adverse pregnancy outcomes, including congenital syphilis, second trimester pregnancy without normative treatment of syphilis, the incidence of adverse pregnancy outcomes was 76.92%. The incidence of congenital syphilis was 38.46%. Conclusion Early screening for pregnancy syphilis, early diagnosis and standard treatment can effectively prevent the occurrence of adverse pregnancy outcomes and congenital syphilis.