在21-35岁妇女的骨盆检查期间异常发现的发生率
Nicole Norby1, Priya Sabu, Tonja Locklear
1Department of Obstetrics and Gynecology, Carilion Clinic/Virginia Tech-Carilion School of Medicine, Roanoke, Virginia.
在21-35岁无症状妇女的常规盆腔检查中,很少发现异常. 然而,有症状的女性的妇科问题率显着更高,这表明需要重新评估无症状个体的常规查.
科学领域:
- 妇科 妇科医生 妇科
- 预防性医疗保健 预防性医疗保健
- 临床流行病学临床流行病学
背景情况:
- 妇科检查是妇女预防性医疗保健的标准组成部分.
- 在无症状妇女中进行常规盆腔检查的有用性仍在争论中.
- 了解症状与无症状患者中异常发现的发生率对于基于证据的实践至关重要.
研究的目的:
- 为了比较21岁至35岁的无症状和有症状患者在预防性检查期间异常妇科检查结果的发生率.
- 为了为临床指南提供有关常规盆腔检查的信息.
主要方法:
- 这是一项回顾性研究,分析了2017年1月至2017年3月期间的1,121次患者访问.
- 从21~35岁的患者收集的数据,分为无症状或有症状.
- 在两组之间比较异常的骨盆检查结果.
主要成果:
- 只有1.2%的无症状患者有异常发现,而症状患者的异常发现为32.4% (P ≤ .001).
- 症状患者的常见症状包括阴道泄漏 (25.1%),盆腔疼痛 (16.4%) 和阴道出血 (15.7%).
- 细菌性阴道炎和Candida感染是无症状患者中最常见的发现.
结论:
- 无症状的妇女接受例行预防性检查,发生异常妇科发现的发病率很低.
- 这些发现表明,在这个年龄段的所有无症状妇女中,可能不需要进行常规的盆腔检查.
- 需要重新考虑目前对无症状年轻女性进行常规盆腔检查的指导方针.
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