妊娠合并梅毒的流行特征及预后分析

ANALYSIS ON EPIDEMIC CHARACTER AND PROGNOSIS OF PREGNANCY COMPANIED WITH SYPHILIS.

目的 :通过梅毒筛查 ,分析妊娠合并梅毒的流行特征及临床特点 ,探索降低对孕妇和围产儿危害的有效方法。方法 :采用血浆反应试验 (RPR)和梅毒螺旋体颗粒凝集试验 (TPHA)筛查 ,对妊娠合并梅毒进行回顾性分析。结果 :妊娠合并梅毒 5 4例 ,占住院分娩病例总数的 6 .2‰ ,潜伏期梅毒 5 1例 ,占 94 .4 %。在孕 2 0周内确诊 33例 ,占 6 1.1%。未治疗组中流产 8.0 % ,死胎 2 0 .0 % ,畸胎 8.0 % ,与治疗组比较差异有显著性。结论 :妊娠合并梅毒以潜伏梅毒为主 ,早期、规则。

Objective:To analyse the epidemic charater and prognosis of pregnancy companied with syphilis (PCWS),and to explore effective method that could decrease both maternal and perinatal detriment.Methods:RPR and TPPA tests are applied for screening and retrospective analysis was made in PCWS group.Results:There are 54 cases of pregnancy companied with syphilis,which Occupy 0.62 percent of the total inpatient puerperal cases.51 cases of dormant syphilis with 94.4 percent.Among with 33 cases,covering 61.1 percent have been diagnosed during the first 20 weeks pregnancy.There are 8.0 percent of abortion,20 percent of dead fetuses,and 8.0 percent deformity in the untreatment group,compared with treatment group,these indexos are significantly different.Conclusion:Dormant syphilis are mostly common in PCWS,early,stardard,whole-process treatment is the premise for lowering down perinatal death rate and preventing congenital syphilis.