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目的通过对长春市汽车产业开发区妊娠期妇女阴道及宫颈病变的调查分析,及时了解该地区孕产妇的健康状况及一些好发病的相关危险因素。方法对来院接受产前检查的孕妇及产后6个月内到门诊就诊者(共857例)行常规妇科内诊检查及宫颈液基细胞检查,筛查宫颈病变。阴道炎症者,行分泌物常规检查,给予相应治疗,并对多发病进行相关危险因素分析。结果该地区研究期间妊娠期宫颈癌1例(0.12%),宫颈糜烂88例(10.27%),霉菌性阴道炎40例(4.67%),滴虫性阴道炎6例(0.70%),宫颈息肉11例(1.28%)。以上病变均与孕次、年龄、体质指数、有无工作等无明显相关。结论宫颈细胞学检查对孕妇和产后妇女防治癌前病变和癌症有积极作用。孕期阴道及宫颈病变不容忽视,及时治疗,围生期监测和管理可降低围生儿的病死率和病残率。
Objective To investigate the prevalence of vaginal and cervical lesions in pregnant women in Changchun Automobile Industrial Development Zone and to get a good understanding of the health status of pregnant women and some related risk factors in this area. Methods A total of 857 pregnant women who came to the hospital for prenatal examination and to outpatients within 6 months after delivery (857 cases) underwent routine gynecological examinations and cervical liquid-based cell tests to screen for cervical lesions. Vaginitis, routine examination of secretions, given the appropriate treatment, and the risk factors for multiple morbidity analysis. Results During the study period, 1 case of cervical cancer in pregnancy (0.12%), 88 cases of cervical erosion (10.27%), 40 cases of fungal vaginitis (4.67%), 6 cases of trichomonas vaginitis (0.70%), Eleven patients (1.28%). The lesions were not associated with gestational age, age, body mass index, with or without work. Conclusion Cervical cytology has a positive effect on the prevention and treatment of precancerous lesions and cancer in pregnant and postpartum women. Vaginal and cervical lesions during pregnancy can not be ignored, timely treatment, perinatal monitoring and management can reduce perinatal mortality and morbidity.