妊娠期间宫颈病变的处理.pdfVIP

·54 · 　第 16 卷 　第 1 期 医 学 研 究 生 学 报 Vol. 16 　No. 1 　2003 年 1 月 Journal of Medical Post graduates Jan. 2003 ·综　　述· 妊娠期间宫颈病变的处理 胡 　佳综述 , 　梁元姣 , 　吴效科审校 (南京军区南京总医院妇产科 ,江苏南京 210002) 摘要 : 　妊娠期间宫颈癌发病率大约为 7/ 10 万～500/ 10 万 ,妊娠合并宫颈原位癌及宫颈上皮内瘤样病变比妊娠合 并宫颈浸润癌要多见。妊娠妇女宫颈涂片异常时 ,有必要进行阴道镜检查或阴道镜下活检。妊娠期间宫颈癌的处 理主要根据宫颈癌的分期、患者生育的愿望和孕周等决定。 关键词 : 　宫颈癌 ; 　宫颈上皮内瘤样病变 ; 　妊娠 ( ) 中图分类号: 　R737. 33 　　　文献标识码 : 　A 　　　文章编号 : 2003 The management of cervical diseases during pregnancy HU Jia review ing , L IAN G Yuanjiao , WU Xiaoke checking ( Depart ment of Obstet rics and Gynecology , N anjin g General Hospital of N anjin g Com m and , N anjin g 210002 , Jiangsu , ) China Abstract : 　The incidence of cervical cancers during pregnancy is approximately 7/ 100 000～500/ 100 000. Cervical carci noma in situ or cervical interepithelial neoplasia (CIN) during pregnancy is more frequently seen than that of cervical invasive cancer during pregnancy. Colposcopic examination of the cervix in patients with abnormal cervical smear during pregnancy is necessary. When a patient is in the second or third trimester and colposcopic examination is not suggestive of invasion , the treatment will be defered from that in the postpartum period. Management of cervical cancer during pregnancy depends on stages of disease , duration of pregnancy and desire to preserve pregnancy. When diagnosis is made during first and early sec ond trime