中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

妊娠期宫颈上皮内瘤变的诊疗策略

  

  1. 上海交通大学医学院附属仁济医院妇产科，上海 200127
  • 出版日期:2018-10-02 发布日期:2018-10-10
  • 通讯作者: 邱丽华

Cervical intraepithelial neoplasia in pregnancy：diagnosis and management strategy.

  1. Department of Obstetrics and Gynecology，Ren Ji Hospital，School of Medicine，Shanghai Jiao Tong University，Shanghai 200127，China
  • Online:2018-10-02 Published:2018-10-10

摘要：

目前国内外妊娠期宫颈癌初筛主要基于孕12～20周的细胞学筛查，细胞学异常的检出率受受试人群和医院的细胞病理学医生水平影响。妊娠期宫颈细胞学异常的孕妇，直接转诊阴道镜或进一步经人乳头瘤病毒分型检测分流后转诊阴道镜检查，可疑宫颈癌前病变者行宫颈活检、可疑浸润癌者行宫颈锥切等方法分层诊断。在排除宫颈浸润癌的前提下，妊娠期宫颈上皮内瘤变的处理原则以随访为主，而不建议在妊娠期开展治疗。

关键词: 妊娠, 宫颈上皮内瘤变, 筛查, 治疗

Abstract:

Nowadays，initial cervical cancer screening was based on cytological test between 12 to 20 gestational weeks.Nevertheless，the efficiency of cytological test was influenced by study population and capacity of cytological pathologists.Pregnant women with abnormal cytological results were referred to HPV-DNA detection test，and then colposcopy.When necessary，biopsy and cervical conization were performed.Under the precondition of excluding cervical invasive cancer，the principle of managing cervical intraepithelial neoplasia in pregnancy is mainly follow-up，and treatment is not recommended during pregnancy.

Key words: pregnancy, cervical intraepithelial neoplasia, screening, management

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