Gebelikte servikovaginal sitolojik değişikliklerin değerlendirilmesi
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Kadınlarda jinekolojik kanserlerden ölüm nedenlerinin başında yer alan serviks kanseri etkin tarama programı ile azaltılabilmektedir. Rutin gebelik muayeneleri, tarama yapmak için önemli bir fırsattır. Bu amaçla gebelerde pap smear testinin uygulanabilirliğini araştırmak amacıyla çalışmamızı başlattık. Gereç ve Yöntem: Kadın Doğum polikliniğimize 2006-2007 yılları arası başvuran 144 gebenin servikovaginal smear sonuçları retrospektif olarak yaş, gebelik haftası, özgeçmişteki hastalıkları, gebelik sayısı gibi bir dizi parametre ile birlikte incelendi. Patoloji tespit edilen smearleri gruplandırdık. Kontrol grubu olarak doğurganlık çağındaki gebe olmayan 82 kadın alındı. Bulgular: Gebe grubunun yaş ortalaması 28.12 ± 0.45, kontrol grubunun yaş ortalaması 31.83 ± 0.56 olarak saptanmıştır. Gebelik döneminde preinvazif lezyon görülme sıklığında artış olmadığı tesbit edildi. Tüm vakalarda ASC-US ‘dan (“atypical squamous cells of undetermined significance” = anlamı belirlenemeyen atipik skuamöz hücreler) daha ağır lezyon saptanmadı. Kontrol grubunda 3 (%3.6) ASC-US görülürken, gebe grubunda hiç ASC-US saptanmadı. Aradaki fark anlamlı değildi (p=0.08). Gebe grubunda (%28.1) kontrol grubuna (%6.09) göre enfeksiyon oranı anlamlı olarak artmış bulundu (p=0.0002). Gebelerde en sık kandida enfeksiyonuna rastlandı. Gebe grubunda 2 vakada smear sonucu yetersiz olarak değerlendirilirken , kontrol grubunda yetersiz smear sonucu yoktu. Ancak aradaki fark anlamlı değildi (p=0.738). Sonuç: Gebelikte uygulanan servikovaginal sitolojik taramanın etkinliği, gebe olmayan gruptan farklı değildir. Bu nedenle servikovaginal smear rutin gebelik testleri arasına sokulmalıdır. Böylece peryodik smear takibine gelmeyen, ancak gebelik kontrollerine gelen kadın hastalardan smear alınması bu hastaların taranmasına fırsat verecektir.
Cervical Cancer, being the primary cause of death of gynecologic cancer among women, can be reduced by effective screening programme. Routine obstetrics visits are important opportunities to search through. To this purpose, we started our research to examine the application of pap smear test on the pregnants. Material and Method:144 pregnants' cervicovaginal smear results, having resorted to our Obstetcic Policlinic between 2006 and 2007, were examined by retrospective along with the parameters such as age, the pregnancy week, history and the number of pregnancy. We classified the smears in which patalogy was determined. 82 women at their reprodüctive age were taken into the controlling group. Results: The average age of pregnancy group was determined as 28.12 ± 0.45 and that of the controlling group was determined as 31.83 ± 0.56. That there was no increase in the frequency of encountering preinvasive lesion during the pregnancy period was determined. In all cases, there was no severe lesion than ASC-US (atypical squamous cells of undetermined significance). While in the controlling group, 3(3.6%) ASC-US was encountered, in the pregnancy group, no ASC-US was seen. The differences between them was not significant (p=0,08). That the infection ratio in the pregnancy group (28,1%) increased expressively as to that in the controlling group (6,09%) was reached (p=0,0002).Candida Infection was encountered the most frequently among the pregnants. While the smear results were evaluated as insufficient in two cases of the pregnancy group, there was no insufficient smear result in the controlling group. However, the differences between them was not significant (p=0,738). Conclusion: The effectivity of cervicovaginal citologic screening carried out during pregnancy was no different from that of non-pregnant group. For this reason, cervicovaginal smear was put into the regular pregnancy tests. Thus, appliying the smear test on the women, not coming to the periodic smear follow-up but to the controlling of pregnancy, can give the opportunity for cervical screening these women.
Cervical Cancer, being the primary cause of death of gynecologic cancer among women, can be reduced by effective screening programme. Routine obstetrics visits are important opportunities to search through. To this purpose, we started our research to examine the application of pap smear test on the pregnants. Material and Method:144 pregnants' cervicovaginal smear results, having resorted to our Obstetcic Policlinic between 2006 and 2007, were examined by retrospective along with the parameters such as age, the pregnancy week, history and the number of pregnancy. We classified the smears in which patalogy was determined. 82 women at their reprodüctive age were taken into the controlling group. Results: The average age of pregnancy group was determined as 28.12 ± 0.45 and that of the controlling group was determined as 31.83 ± 0.56. That there was no increase in the frequency of encountering preinvasive lesion during the pregnancy period was determined. In all cases, there was no severe lesion than ASC-US (atypical squamous cells of undetermined significance). While in the controlling group, 3(3.6%) ASC-US was encountered, in the pregnancy group, no ASC-US was seen. The differences between them was not significant (p=0,08). That the infection ratio in the pregnancy group (28,1%) increased expressively as to that in the controlling group (6,09%) was reached (p=0,0002).Candida Infection was encountered the most frequently among the pregnants. While the smear results were evaluated as insufficient in two cases of the pregnancy group, there was no insufficient smear result in the controlling group. However, the differences between them was not significant (p=0,738). Conclusion: The effectivity of cervicovaginal citologic screening carried out during pregnancy was no different from that of non-pregnant group. For this reason, cervicovaginal smear was put into the regular pregnancy tests. Thus, appliying the smear test on the women, not coming to the periodic smear follow-up but to the controlling of pregnancy, can give the opportunity for cervical screening these women.
Açıklama
Anahtar Kelimeler
Gebeilk, servikovaginal sitoloji, Pregnancy, cervicovaginal cytology
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
1
Sayı
1
Künye
Abalı, R., Bozkurt, H. S., Aksu, M., Koçyıldız, Z. ve Dursun, N. (2009). Gebelikte servikovaginal sitolojik değişikliklerin değerlendirilmesi / The evaluation of cervicovaginal cytological changes during pregnancy. Maltepe Tıp Dergisi. 1(1), s. 38-46.