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目的探讨妊娠合并梅毒的孕期干预治疗及妊娠结局。方法对87例妊娠合并梅毒的临床资料进行回顾性分析,根据接受治疗的情况,将87例患者分为2组,66例孕期接受规范治疗为第1组,21例孕期未接受规范治疗为第2组,比较二组孕妇的妊娠结局。结果1组妊娠成功率为95.45%(63/66),围生儿先天性梅毒17.46%(11/63).2组妊娠成功率为42.86%(9/21),围生儿先天性梅毒80.95%(17/21)。结论梅毒是导致不良妊娠结局的重要因素,是危害围生儿的严重并发症,早期规范的治疗可提高妊娠成功率,减少先天性梅毒的发生。
Objective To investigate the pregnancy intervention and pregnancy outcome of pregnancy complicated with syphilis. Methods The clinical data of 87 pregnant women with syphilis were retrospectively analyzed. According to the condition of treatment, 87 patients were divided into two groups, 66 patients received standard treatment during pregnancy as group 1, 21 patients underwent normative treatment during pregnancy 2 groups, comparing the pregnancy outcomes of the two groups of pregnant women. Results The success rate of pregnancy in one group was 95.45% (63/66), and that in perinatal children was 17.46% (11/63). The success rate of pregnancy in two groups was 42.86% (9/21), the congenital syphilis 80.95 % (17/21). Conclusion Syphilis is an important factor leading to adverse pregnancy outcomes and is a serious complication of perinatal children. Early standard treatment can improve the success rate of pregnancy and reduce the incidence of congenital syphilis.