结肠镜 - - 一个宝贵的诊断工具,孕妇有不明原因的阴道出血
Inshirah Sgayer, Maskit Shmueli1, Lior Lowenstein
1Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Journal of lower genital tract disease
|November 14, 2023
概括
结肠镜能有效地诊断出怀孕妇女在第二或第三个三个月内不明原因的阴道出血的来源. 这种诊断工具确定了诸如ectropion和宫息肉之类的原因,有助于管理.
科学领域:
- 产科和妇科 产科和妇科
- 诊断成像 诊断成像 诊断成像
- 科尔波斯科比 (Colposcopy) 是一种对人体检查的方法.
背景情况:
- 在怀孕的第二个或第三个三个月内,不明原因的阴道出血会给诊断带来挑战.
- 评估出血源对于母亲和胎儿的健康至关重要.
研究的目的:
- 评估怀孕妇女在怀孕第二或第三个三个月经历不明原因的阴道出血时的结肠镜的诊断效用.
主要方法:
- 在2012年至2022年期间,对364名接受了阴道出血的孕妇进行了镜检查的回顾性分析.
- 收集的数据包括人口统计,产科细节,出血严重程度,结肠镜检查结果,宫细胞学,胎盘超声波和出生结果.
主要成果:
- 结肠镜检查发现出血源在22.8%的病例中,常见的发现包括ectropion (12.6%) 和宫息肉 (10.2%).
- 经历过阴道后出血的女性有异常结肠镜检查结果 (33.3%) 和异常巴氏涂片 (13.2%) 的风险明显更高.
结论:
- 结肠镜检查是一种有价值的诊断程序,用于评估怀孕第二和第三季度无法解释的阴道出血.
- 这些发现支持使用结肠镜来确定出血的特定原因,指导适当的临床管理.
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