3670例早期妊娠妇女梅毒血清学检查及处理

Syphilis Serology Inspection and Treatment in 3670 Cases of Women During Early Pregnancy

目的:了解早期妊娠妇女梅毒感染情况,采取防治措施,减少先天梅毒的发生。方法:采用梅毒明胶颗粒试验(TPPA)和梅毒甲苯胺红试验(TRUST)对早期妊娠妇女进行梅毒血清学检查,两项结果均阳性者诊为妊娠期梅毒,可采取驱梅治疗或终止妊娠。结果:3670例早期妊娠妇女中,确诊为妊娠期梅毒的29例,其中TRUST滴度大于1:8的有8例,小于1:8的有21例;有12人接受驱梅治疗,有17人选择终止妊娠。结论:在早期妊娠妇女中进行梅毒血清学检查,可及早采取措施,减少先天梅毒的发生。

Objective： Checking early syphilis infection in pregnant women,taking preventive measures to reduce the incidence of congenital syphilis.Methods： Syphilis serology inspection using gelatin particles（TPPA） and syphilis toluidine red test（TRUST） for women during early pregnancy.Syphilis during pregnancy is diagnosed in case of two positive results,and anti-luetic treatment or termination of pregnancy may be adopted.Results： In 3670 cases of women during early pregnancy,29 cases are diagnosed as Syphilis in Pregnancy,including 8 cases of TRUST titer greater than 1：8,21 cases of less than 1：8;12 patients receive anti-luetic treatment;17 patients choose to terminate the pregnancy.Conclusion： Syphilis serology inspection should be carried out for women during early pregnancy and measures should be taken in the early stage to reduce the incidence of congenital syphilis.