Cervical screening in pregnant patients

Yıl 2003, Cilt: 34 Sayı: 1, 7 - 11, 01.02.2003

Serap Yaltı Güler Altıntepe Vedat Dayıcıoğlu

Öz

To determine the prevalance of cervical lesions of pregnant women in the Turkish population and to contribute to the formation of a national screening program in the general population. Material Method: To determine the relation-ship between pregnancy and cervical cancer cervical smear was obtained from 812 random-ly selected patients who applied to the our maternity clinic. Results: Normal cervical findings were present in (n=212) %26.1 of the patients, whereas %2.46 (n=20)of the patients revealed reactive and repetetive changes, (n=7) %0,086 revealed ASCUS, %0.049 (n=4) had SIL (with HPV findings) and (n=l) % 0.012 had invasive carsinoma of the cervix. Conclusion: The epitelial changes in the gravid cervix and the early diagnosis of inva-sive cervical cancer is possible with PAP smear, which is an effective population screening test.

Anahtar Kelimeler

Vaginal Smears, Pregnancy, Prevalence, Cervix Diseases

Gebelerde servikal smear taraması

Öz

Amaç: Türk toplumunda gebe populasyondaki servikal lezyonlarm sıklığını saptamak, ve genel populasyonda ulusal bir tarama programı oluşmasına katkıda bulunmaktır. Materyal Metod: Zeynep Kamil Kadın ve Çocuk Hastalıkları Hastanesi Kadın Doğum Antenatal polikliniğine başvuran 812 gebe hastaya gebelik serviks kanseri ilişkisini saptamak üzere PAP smear uygulandı. Bulgular: 812 gebeden n=212 (%26.1) inde normal bulgular saptanırken, n= 568 % 69.95'inde enfeksiyon, n=(20) %2.67'sinde reaktif ve repetetif değişiklikler, (n=7) %0.086'sında ASCUS, (n=4) % 0.049 'unda SlL (HPV ile uyumlu ), (n=l) %0.012'sinde ise invazif serviks karsinomu saptandı. Sonuç : Gebelikte serviksteki epitelyal deği siklikler ve invazif serviks kanserinin erken tanısı bir kitle tarama testi olan PAP smear ile mümkündür.

Anahtar Kelimeler

Vajinal smirler, Gebelik, Yaygınlık, Serviks hastalıkları

Kaynakça

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