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[目的]探讨妊娠合并宫颈癌的临床特征及诊治方式。[方法]回顾性分析13例妊娠合并宫颈癌患者的临床特征、诊治经过和随访情况。[结果]13例患者,妊娠期诊断7例(孕周为18~38周,中位孕周29周),产后6个月内诊断6例。5例ⅠA1期,均为无任何症状仅在产检时发现;ⅠB1期3例、ⅠB2~ⅡA期3例均有接触性出血或不规则阴道出血症状;ⅡB期和ⅢB期各1例,均有持续阴道出血症状。妊娠期5例ⅠA1期及1例可疑ⅠB1期行延迟治疗;2例ⅠB1期和3例ⅠB2~ⅡA期行综合治疗。[结论]宫颈细胞学筛查对妊娠合并宫颈癌患者早诊断、早治疗具有重要意义,应作为首次产检的常规项目;在妊娠中晚期发现ⅠA期和ⅠB1期宫颈癌可以考虑延迟治疗。
[Objective] To investigate the clinical features and diagnosis and treatment of pregnancy complicated with cervical cancer. [Methods] The clinical features, diagnosis, treatment and follow-up of 13 cases of pregnancy complicated with cervical cancer were analyzed retrospectively. [Results] Among the 13 patients, 7 cases were diagnosed during pregnancy (gestational age 18 to 38 weeks, median gestational age 29 weeks), 6 cases were diagnosed within 6 months after delivery. 5 cases of stage Ⅰ A1, were found without any symptoms only in the production examination; ⅠB1 in 3 cases, ⅠB2 ~ Ⅱ A period of 3 cases had contact bleeding or irregular vaginal bleeding symptoms; Ⅱ B and Ⅲ B of 1 case, both Continuous vaginal bleeding symptoms. 5 cases of pregnancy ⅠA1 and 1 suspected ⅠB1 line delay treatment; 2 cases ⅠB1 and 3 cases ⅠB2 ~ ⅡA period of comprehensive treatment. [Conclusion] Cervical cytology screening is of great importance to early diagnosis and early treatment of pregnant women with cervical cancer. It should be used as routine routine for the first time of pregnancy. Delayed treatment may be considered in stage ⅠA and ⅠB1 cervical cancer in the middle and late pregnancy.