妊娠合并宫颈病变的阴道镜检查

Colposcopy practice of pregnancy associated with cervical lesions

妊娠期阴道镜检查中宫颈暴露困难,活检易出血,妊娠期阴道镜宫颈图像的变化,使阴道镜评估的准确性较非孕期要低。妊娠各期均可行阴道镜检查,注意止血,活检是安全的。除非可疑宫颈浸润癌,否则不应施行诊断性切除。妊娠期不宜施行宫颈管搔刮术。

It is difficult to expose cervix with Colposcopy for pregnant women. Blooding may be cause by biopsies. The typical modifications of the cervix occurring during gestation make a low accuracy of colposcopic evaluation. It is suitable to experience colposcopy during whole gestation. Biopsy is safe during pregnancy. Diagnostic excision is unacceptable unless invasive cancer is suspected. Endocervical curettage is contraindicated in pregnant patients.